| NPI | 1164734307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN C HEALY Physical Therapist, Chiropractor 224-432-5276 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038.011704) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070.017753) |
| Enumeration Date | 2010-07-03 |
| Last Update Date | 2018-07-29 |