NPI | 1841488467 |
---|---|
Entity Type | Organization |
Authorized Contact | TIMOTHY JOSEPH KENNEDY Chiropractor 309-797-5700 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038003971) |
Enumeration Date | 2007-10-09 |
Last Update Date | 2007-10-09 |