| NPI | 1740497957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY WAYNE KAUFMAN Owner Doctor 309-383-2772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 042618025) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2020-08-22 |