| NPI | 1346457330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW ALLEN PETRY Chiropractor 630-236-8600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 38-009285) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2009-07-09 |