| 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 |