| NPI | 1255769998 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNNETTE MCROY Billing Coordinator 773-767-3822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038012396) |
| Enumeration Date | 2013-10-16 |
| Last Update Date | 2023-01-18 |