| NPI | 1194745000 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWIN PAUL PATRICK Owner 847-888-3131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NX0800X Chiropractor, Orthopedic (Licence: IL 38003465) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2012-07-02 |