| NPI | 1831106962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATTIE N. O'MALLEY Office Manager 815-895-5111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 060-000586) |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2011-10-11 |