| NPI | 1073793345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN M BRETON President, CEO 847-368-1234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NI0900X Chiropractor, Internist (Licence: IL 038008779) |
| Additional Taxonomies | 111NS0005X Chiropractor, Sports Physician (Licence: IL 038.009584) |
| Enumeration Date | 2007-11-05 |
| Last Update Date | 2024-08-03 |