NPI | 1114063989 |
---|---|
Entity Type | Organization |
Authorized Contact | KAREN DALE GAJDA Owner Doctor 708-352-2392 |
Organization Subpart ? | No |
Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: IL 036066049) |
Enumeration Date | 2007-01-29 |
Last Update Date | 2013-01-22 |