NPI | 1033448402 |
---|---|
Doing Business As | HEALTHSOURCE OF LISLE |
Entity Type | Organization |
Authorized Contact | RAYMOND RUGINIS Owner 630-963-1410 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038-003888) |
Enumeration Date | 2009-12-15 |
Last Update Date | 2009-12-15 |