| NPI | 1891232153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KASSIE JEAN YOUNG Business Owner 217-359-0550 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: 038.012380) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038.012380) |
| Enumeration Date | 2017-01-25 |
| Last Update Date | 2018-03-01 |