NPI | 1376724419 |
---|---|
Entity Type | Organization |
Authorized Contact | JILL M DORTCH Owner/Chiropractor 708-660-9139 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038009772) |
Enumeration Date | 2007-11-16 |
Last Update Date | 2007-11-16 |