| NPI | 1104210434 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL DZIURGOT President 847-849-9417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2015-03-25 |
| Last Update Date | 2015-07-02 |