| NPI | 1083732473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM SCOTT FAGER President 847-991-2222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038010511) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038010612) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-08-22 |