| NPI | 1568580843 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA RUF Manager 815-639-9900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038009573) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 149009052) |
| 111NR0400X Chiropractor, Rehabilitation (Licence: IL 038009573) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: IL 336045953) | |
| 208D00000X General Practice (Licence: IL 036118972) | |
| 213E00000X Podiatrist (Licence: IL 31602516) | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IL 016005320) | |
| 225100000X Physical Therapist (Licence: IL 0070009799) | |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2016-04-18 |