| NPI | 1639189178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOREN WILLIAMS RICHIE President 217-698-1311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038008580) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070014190) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2008-06-30 |