NPI | 1508224247 |
---|---|
Entity Type | Organization |
Authorized Contact | TRAVIS AHRENS Chiropractic Physician/Owner 224-307-2201 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 38.012838) |
Enumeration Date | 2016-02-09 |
Last Update Date | 2016-10-11 |