| NPI | 1063439768 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL MATTHEW MIKULSKI President 773-573-6348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NN1001X Chiropractor, Nutrition (Licence: IL 038-010243) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2020-08-22 |