| NPI | 1700953924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY J BERTELSMAN President 618-236-3738 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: IL 042618606) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2007-11-01 |