NPI | 1205059912 |
---|---|
Entity Type | Organization |
Authorized Contact | PETER F. ZID Owner 773-248-2790 |
Organization Subpart ? | No |
Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: IL 38-007442) |
Enumeration Date | 2007-04-11 |
Last Update Date | 2010-08-27 |