| NPI | 1104980358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL CLIFFORD ELLSTEIN President 708-848-8122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038-004815) |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2008-07-17 |