NPI | 1346649423 |
---|---|
Entity Type | Organization |
Authorized Contact | ANITA ANN DICKERSON Chiropractor 630-450-5515 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038010318) |
Enumeration Date | 2014-08-14 |
Last Update Date | 2014-08-14 |