| NPI | 1104015049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID R ANDERSON President 773-342-3221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 042617640) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038006342) |
| Enumeration Date | 2007-10-16 |
| Last Update Date | 2007-10-16 |