NPI | 1457524746 |
---|---|
Entity Type | Organization |
Authorized Contact | JUSTIN CHANEY TUTTLE Chiropractor 309-693-9200 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038.010839) |
Enumeration Date | 2008-04-08 |
Last Update Date | 2017-12-29 |