NPI | 1245787753 |
---|---|
Entity Type | Organization |
Authorized Contact | KARL STEPHEN FORGERON CEO 630-289-2225 |
Organization Subpart ? | No |
Primary Taxonomy | 111NX0800X Chiropractor Orthopedic (Licence: IL 038008415) |
Enumeration Date | 2016-09-01 |
Last Update Date | 2022-04-20 |