| NPI | 1063638674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL ANTHONY MARANDO Chiropractor 773-348-0033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor Sports Physician (Licence: IL 042617987) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2022-11-21 |