| NPI | 1689079238 |
|---|---|
| Doing Business As | LIFEPLUS MD |
| Entity Type | Organization |
| Authorized Contact | GLEN N FEATHER President 309-740-3744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: IL 036-079920) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038-007890) |
| 208D00000X General Practice (Licence: IL 036-114669) | |
| Enumeration Date | 2014-10-24 |
| Last Update Date | 2014-10-24 |