NPI | 1336507615 |
---|---|
Former Legal Business Name | BATAVIA BACK & NECK CENTER |
Entity Type | Organization |
Authorized Contact | ANTHONY DI CARLO Owner 630-879-6459 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038006500) |
Enumeration Date | 2016-02-02 |
Last Update Date | 2016-02-02 |