| NPI | 1265703631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT FONDA President 312-543-3544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NX0800X Chiropractor, Orthopedic (Licence: IL 038007499) |
| Enumeration Date | 2012-01-18 |
| Last Update Date | 2012-01-18 |