| NPI | 1801994470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD CALVIN VAN TIL President 815-929-9296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038.010127) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2024-05-07 |