| NPI | 1104831940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK W. GAMBLE President/Owner 847-428-6201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038-003208) |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2020-08-22 |