| NPI | 1700103264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT JOSEPH KENNY Owner 815-717-8355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038.010761) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225700000X Massage Therapist | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2010-04-23 |
| Last Update Date | 2022-03-01 |