NPI | 1750335329 |
---|---|
Doing Business As | AXIOM NECK TO BACK MEDICAL CLINIC LLC |
Entity Type | Organization |
Authorized Contact | WENDY NEWMAN Comptroller 815-227-9900 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT20245) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME 93347) |
111N00000X Chiropractor (Licence: FL CH 8788) | |
Enumeration Date | 2006-05-19 |
Last Update Date | 2025-09-11 |