| NPI | 1619247467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN E CARLSON Dr/Owner 815-622-2863 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038.006543) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 198.000118) |
| Enumeration Date | 2012-01-11 |
| Last Update Date | 2012-01-11 |