| NPI | 1104030964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN RAE PUTTS-CANTWELL President 847-816-3350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 0380006958) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2013-10-30 |