| NPI | 1427209535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES DRAKE President 815-229-8690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038010047) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: IL 036056126) |
| Enumeration Date | 2008-10-07 |
| Last Update Date | 2008-10-07 |