| NPI | 1659586212 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK COHEN President 815-730-0033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: IL 038007050) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2020-08-22 |