| NPI | 1033314430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY WDOWIAK Office Manager 1847-296-0505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NN1001X Chiropractor, Nutrition (Licence: IL 038-008810) |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2009-07-30 |