| NPI | 1255740635 |
|---|---|
| Doing Business As | HEALTHSOURCE OF BOLINGBROOK |
| Entity Type | Organization |
| Authorized Contact | BRADY JAMES SCHUYLER Owner 630-253-5505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038009393) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038011006) |
| Enumeration Date | 2014-08-11 |
| Last Update Date | 2020-08-20 |