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 |