| NPI | 1770905432 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDAL CYBULSKI Owner 815-267-6263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038011835) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070006640) |
| Enumeration Date | 2014-01-15 |
| Last Update Date | 2015-03-13 |