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 |