NPI | 1003299546 |
---|---|
Entity Type | Organization |
Authorized Contact | WALTER P DUZEY Owner 847-367-4900 |
Organization Subpart ? | No |
Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: IL 038-007183) |
Enumeration Date | 2015-07-01 |
Last Update Date | 2015-07-01 |