| NPI | 1972966034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE CARLO MARTINEZ Chiropractor 815-768-9137 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038012953) |
| Enumeration Date | 2016-04-05 |
| Last Update Date | 2016-04-05 |