NPI | 1255723615 |
---|---|
Entity Type | Organization |
Authorized Contact | TIMOTHY GILBERT Chiropractic Physician / Owner 708-403-9450 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038.012769) |
Enumeration Date | 2015-02-23 |
Last Update Date | 2015-04-29 |