| NPI | 1659404630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COREY PATRICK WEINFURTNER Owner 815-344-2700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038-009889) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2012-03-20 |