| NPI | 1528250651 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD DEPEW Chiropractic Physician 309-346-2663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: IL 038009601) |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2007-08-13 |