| NPI | 1013132828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA M CARLSON President 847-808-9696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038007535) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY X0077691) |
| 111N00000X Chiropractor (Licence: WI 2963) | |
| 111N00000X Chiropractor (Licence: PA DC005347L) | |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2020-08-22 |