| NPI | 1285794297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ANTHONY PONTARELLI Presiding Officer 847-754-1946 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038009742) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2020-08-22 |