| NPI | 1093126435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON GRIFFITH FENNEMA President 773-456-5313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: IL 1386657690) |
| Enumeration Date | 2014-05-19 |
| Last Update Date | 2014-12-30 |