| NPI | 1053814814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RALPH P DESTEPHANO Owner/Chiropractic Neurologist 312-767-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038007206) |
| Enumeration Date | 2018-03-17 |
| Last Update Date | 2018-03-17 |