| NPI | 1285774380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY T. HAWORTH Business Administrator 847-229-0808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038-005144) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2020-08-22 |