| NPI | 1093066003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA H CHAN Chiropractor 312-344-1384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: IL 038012068) |
| Enumeration Date | 2012-10-01 |
| Last Update Date | 2021-09-14 |