| NPI | 1336357854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUE HICKENLOOPER Office Manager 847-854-8052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NN1001X Chiropractor, Nutrition (Licence: IL 038009161) |
| Additional Taxonomies | 111NI0900X Chiropractor, Internist (Licence: IL 038009086) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2008-01-01 |