| NPI | 1780039370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIPALI J PATEL Owner 618-203-3132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038011631) |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2016-05-02 |
| Last Update Date | 2018-03-17 |