| NPI | 1316086267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES NATHAN BODEM Chiropractor 630-615-0656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 042617979) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 042617979) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2011-02-07 |