| NPI | 1831406131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA LEE JOHNSON Owner/Chiropractor 309-363-7606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038.011514) |
| Enumeration Date | 2010-09-08 |
| Last Update Date | 2024-03-07 |