NPI | 1467574731 |
---|---|
Doing Business As | CENTRAL IL SPINE |
Entity Type | Organization |
Authorized Contact | PATRICIA ZVONAR Billing Specialist 309-268-9000 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038.009648) |
Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: IL 038.009648) |
Enumeration Date | 2007-04-06 |
Last Update Date | 2023-07-25 |