NPI | 1306030754 |
---|---|
Entity Type | Organization |
Authorized Contact | HEATHER NOELLE MANTEY-VANLOOCKE Owner/Manager 847-475-4960 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038010160) |
Enumeration Date | 2007-08-29 |
Last Update Date | 2007-08-29 |