| NPI | 1356887475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON FENNEMA President 630-456-5315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: IL 038010696) |
| Enumeration Date | 2017-01-12 |
| Last Update Date | 2017-01-12 |