| NPI | 1558316927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLE LYNN DURBIN Office Manager 217-872-5452 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 060007814) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2008-09-12 |