| NPI | 1154831600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEREK JUSTIN MAITLAND Chief Executive Officer 630-235-6433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038.013131) |
| Enumeration Date | 2017-10-10 |
| Last Update Date | 2017-10-10 |