| 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 |