| NPI | 1740410158 |
|---|---|
| Doing Business As | PREMIER CHIROPRACTIC ROCKFORD |
| Entity Type | Organization |
| Authorized Contact | PETER J GABRYSHAK President 815-227-9949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038008484) |
| Enumeration Date | 2009-07-20 |
| Last Update Date | 2009-07-20 |