| NPI | 1992114151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES EDWARD JOHNSON Chiropractor 217-836-2732 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038.012516) |
| Enumeration Date | 2014-08-12 |
| Last Update Date | 2014-08-12 |