NPI | 1982613584 |
---|---|
Doing Business As | INTEGRATIVE SPINAL & SPORTS REHABILITATION |
Entity Type | Organization |
Authorized Contact | STEPHANIE ANN EASTERDAY Owner/Chiropractor 815-439-9800 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038.009675) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038009675) |
Enumeration Date | 2006-08-05 |
Last Update Date | 2012-05-29 |