| NPI | 1114104262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT VAN HIGGINBOTTOM President 773-667-9053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038 009093) |
| Enumeration Date | 2008-01-30 |
| Last Update Date | 2008-01-30 |