| NPI | 1306273180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE LYNN LOGAN Sole Proprietor 630-327-0471 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038.012494) |
| Enumeration Date | 2013-10-10 |
| Last Update Date | 2013-10-10 |