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 |