NPI | 1013149475 |
---|---|
Entity Type | Organization |
Authorized Contact | YONG W PARK President 847-983-4499 |
Organization Subpart ? | No |
Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: IL 038011256) |
Enumeration Date | 2009-08-19 |
Last Update Date | 2009-08-27 |