NPI | 1104580521 |
---|---|
Former Legal Business Name | COMPASSIONATE CHIROCARE, LLC |
Entity Type | Organization |
Authorized Contact | BRENDA LADONNA EDWARDS Chiropractic Physician 773-398-9201 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor |
Enumeration Date | 2021-10-22 |
Last Update Date | 2021-10-22 |