| NPI | 1831285311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WADE LAWRENCE WHITTIER President Director 897-299-3440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038006080) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2010-07-30 |