| NPI | 1649692617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN BETH ILNICKI Chiropractor/Owner 973-285-0888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NJ 38MC00295200) |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty (Licence: NJ 38MC00295200) |
| Enumeration Date | 2014-01-10 |
| Last Update Date | 2015-02-23 |