NPI | 1457577793 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL DONALD RICHARDS President 309-762-7660 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038-007687) |
Enumeration Date | 2007-04-17 |
Last Update Date | 2020-08-22 |