| NPI | 1356730352 |
|---|---|
| Doing Business As | LONE STAR SPINE AND REHAB |
| Entity Type | Organization |
| Authorized Contact | COREY WILLIAM SORUM Vice President/Clinic Director 847-975-4645 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX TX12285) |
| Additional Taxonomies | 111NR0400X Chiropractor, Rehabilitation (Licence: TX TX12285) |
| 111NX0100X Chiropractor, Occupational Health (Licence: TX TX12285) | |
| Enumeration Date | 2015-01-13 |
| Last Update Date | 2015-01-13 |