NPI | 1053521385 |
---|---|
Entity Type | Organization |
Authorized Contact | MICAHAEL REX PINCKNEY President 708-354-9599 |
Organization Subpart ? | No |
Primary Taxonomy | 111NX0800X Chiropractor, Orthopedic (Licence: IL 042.618434) |
Enumeration Date | 2007-05-23 |
Last Update Date | 2008-05-28 |