| NPI | 1285755108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET HERZOG Office Manager 630-960-9914 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038-006695) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038-010069) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2020-08-22 |