NPI | 1104148733 |
---|---|
Entity Type | Organization |
Authorized Contact | JANICE M. HUSSONG Owner/CEO 630-935-4530 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038.011509) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070.003626) |
Enumeration Date | 2010-02-24 |
Last Update Date | 2012-03-09 |