OrganizationActive
Primal Chiropractic and Rehabilitation PLLC
NPI 1053071811 · Rehabilitation Chiropractor · Lanark, IL
Provider details
- NPI number
- 1053071811
- Entity type
- Organization
- Primary specialty
- Rehabilitation ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Clayton Ruter, Chiropractor(815) 238-1250
Specialties & taxonomies
Chiropractic Providers
Practice location
411 S Broad St
Lanark, IL 61046-1209
Phone: (815) 238-1250
Approximate (ZIP-level) locationGet directions
Mailing address
411 S Broad St
Lanark, IL 61046-1209
Registry dates
- Enumerated
- 2021-12-21
- Last updated
- 2021-12-21
- Certified
- 2021-12-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.