| NPI | 1578993606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENESSA KALENE LUTZ Chiropractor 309-840-3217 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038011261) |
| Enumeration Date | 2013-11-27 |
| Last Update Date | 2013-11-27 |