| NPI | 1942547229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDI GALICK Billing Manager 815-895-3354 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2013-01-07 |
| Last Update Date | 2025-02-24 |