NPI | 1295089712 |
---|---|
Entity Type | Organization |
Authorized Contact | GINA MARIE SIRCHIO Owner/Provider 312-255-8810 |
Organization Subpart ? | No |
Primary Taxonomy | 111NN1001X Chiropractor, Nutrition (Licence: IL 038010610) |
Enumeration Date | 2012-11-06 |
Last Update Date | 2015-06-02 |