| NPI | 1881938074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARISSA M BARANOSKI Chiropractic Physician/Owner 815-582-0006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038011832) |
| Enumeration Date | 2012-11-12 |
| Last Update Date | 2020-02-26 |