| NPI | 1265630271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER ANNE HALLUM President 847-658-8541 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 042.618598) |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2022-07-07 |