| NPI | 1699018093 |
|---|---|
| Doing Business As | INTEGRATED PHYSICAL MEDICINE |
| Entity Type | Organization |
| Authorized Contact | JONATHAN MARK POLCYN Owner / Practicing Physician 815-790-3853 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038010557) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225700000X Massage Therapist | |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2020-02-28 |