| NPI | 1174031728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL PATRICK DURKIN Clinician 773-573-0895 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor Rehabilitation (Licence: MO 2018000924) |
| Enumeration Date | 2018-01-17 |
| Last Update Date | 2018-01-17 |