| NPI | 1720547243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDAL CYBULSKI Owner 815-267-6263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine | |
| 213E00000X Podiatrist | |
| 225100000X Physical Therapist | |
| Enumeration Date | 2019-03-14 |
| Last Update Date | 2023-01-21 |