| NPI | 1518172162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY ANDREW WINGHAM President 217-698-5400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 042-617416) |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: IL 042-617416) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2020-08-22 |