| NPI | 1508392580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD BALDENEGRO Chiropractor 815-343-0510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038.011061) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |