| NPI | 1366600017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN MCROY Billing Coordinator 773-767-3822 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 042619249) |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2008-09-26 |