| NPI | 1881152288 |
|---|---|
| Doing Business As | DECATUR BACK AND NECK CENTER |
| Entity Type | Organization |
| Authorized Contact | PETER WILLIAM VERCELLINO Chiropractor 217-520-4433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2019-03-05 |
| Last Update Date | 2019-03-05 |