NPI | 1891939955 |
---|---|
Entity Type | Organization |
Authorized Contact | VICKI M HARRISON Doctor/Owner 815-544-2732 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038-3588302) |
Enumeration Date | 2009-04-20 |
Last Update Date | 2009-05-28 |