NPI | 1255889317 |
---|---|
Entity Type | Organization |
Authorized Contact | STEPHANIE SUVARNA Owner/Chiropractic Physician 773-348-2800 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038010198) |
Enumeration Date | 2016-09-19 |
Last Update Date | 2023-01-27 |