| NPI | 1548290521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL R VENTURINI Manager Owner 217-787-8200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2019-05-03 |