NPI | 1073764437 |
---|---|
Entity Type | Organization |
Authorized Contact | BRIAN LYNN GULLEDGE Chiropractor 630-390-8074 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038-006606) |
Enumeration Date | 2008-10-03 |
Last Update Date | 2008-10-03 |