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 |