| NPI | 1780853119 |
|---|---|
| Doing Business As | DECATUR BACK AND NECK CENTER |
| Entity Type | Organization |
| Authorized Contact | MARIO PAUL FUCINARI Owner 2178-772-4074 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038-005800) |
| Enumeration Date | 2008-02-29 |
| Last Update Date | 2011-09-26 |