| NPI | 1790092153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW MICHAEL HARRISON Business Owner 815-759-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038.011740) |
| Enumeration Date | 2010-09-07 |
| Last Update Date | 2022-05-25 |