| NPI | 1265847545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW INGLEY Manager 773-273-6734 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 111NN1001X Chiropractor, Nutrition |
| 111NP0017X Chiropractor, Pediatric Chiropractor | |
| 111NS0005X Chiropractor, Sports Physician | |
| 111NX0800X Chiropractor, Orthopedic | |
| 171100000X Acupuncturist | |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2014-06-25 |