| NPI | 1134466162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH OLSON Owner 630-897-1895 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036099986) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038008765) |
| 111N00000X Chiropractor (Licence: IL 038011191) | |
| 111N00000X Chiropractor (Licence: IL 038011696) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209010369) | |
| Enumeration Date | 2013-01-10 |
| Last Update Date | 2024-05-17 |