| NPI | 1114535531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARRIE SKONY Owner, Chiropractic Physician 630-593-3436 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor Sports Physician |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2020-07-22 |
| Last Update Date | 2024-02-16 |