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 |