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 |