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 |