| NPI | 1427360130 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY M PIRIE Member 815-724-0835 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038009041) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070013955) |
| Enumeration Date | 2010-07-10 |
| Last Update Date | 2010-07-10 |