| NPI | 1346377652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALDEN C. CLENDENIN Owner 773-529-4129 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: IL 038-008065) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2020-08-22 |