| NPI | 1750664215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DWIGHT MATTHEW MCCOY Owner/ Chiropractor 815-895-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038-007533) |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2011-09-21 |