| NPI | 1518648955 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL DAVID WHALEN Owner, Chiropractor 815-297-2053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2023-07-27 |
| Last Update Date | 2023-07-27 |