NPI | 1194132340 |
---|---|
Doing Business As | TRIFACTIVE PREMIUM SPORTS INJURY AND PAIN CLINIC |
Entity Type | Organization |
Authorized Contact | JASON JARED Clinic Director 773-697-4142 |
Organization Subpart ? | No |
Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: IL 038011033) |
Enumeration Date | 2014-07-21 |
Last Update Date | 2014-07-21 |