| NPI | 1699006940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY W SMART Owner 309-661-8325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NN1001X Chiropractor, Nutrition (Licence: IL 038011302) |
| Enumeration Date | 2010-01-27 |
| Last Update Date | 2010-01-27 |