NPI | 1922269992 |
---|---|
Entity Type | Organization |
Authorized Contact | REBECCA SUE SCOTT Owner/President 815-772-9000 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038007163) |
Enumeration Date | 2008-06-22 |
Last Update Date | 2008-07-22 |