| NPI | 1437676731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY WILLIAMS Owner / President 815-708-0125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038010875) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: IL 209011343) |
| Enumeration Date | 2017-08-28 |
| Last Update Date | 2022-07-21 |