| NPI | 1457578122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA GERLEMAN BASALA President 309-787-4944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 060001569) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2024-09-20 |