NPI | 1922132703 |
---|---|
Entity Type | Organization |
Authorized Contact | FREDERIC JUDE RATIO President 815-254-9141 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038-008648) |
Enumeration Date | 2007-03-15 |
Last Update Date | 2008-04-20 |