| NPI | 1760610372 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDALL L HOYLE Business Manager 309-681-8520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038008662) |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2009-06-23 |