| NPI | 1124168281 |
|---|---|
| Doing Business As | SOUTH SUBURBAN CHIROPRACTIC CLINIC SC |
| Entity Type | Organization |
| Authorized Contact | KATHY ANNE GRENNELL Office Manager 708-403-3252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2022-07-21 |