| NPI | 1427263573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDA J HODGE Account Manager 217-877-8992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038-005188) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2010-08-16 |