| NPI | 1497955264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD JAMES PICONE Owner Chiropractor 217-287-1040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: IL 038010164) |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2007-07-20 |