NPI | 1669515037 |
---|---|
Entity Type | Organization |
Authorized Contact | MARY ROSE SAKALOSKY Secretary 309-344-4030 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038-005862) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038-005863) |
Enumeration Date | 2007-02-15 |
Last Update Date | 2020-08-22 |