| NPI | 1538363064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON ANDREW MARING Clinic Supervisor 309-764-7272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038-009881) |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2008-04-18 |