| NPI | 1881727642 |
|---|---|
| Doing Business As | SPRINGFIELD SPINAL REHAB |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY L WENNEBORG Administrator 217-544-5213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: IL 042007918) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2012-04-16 |