| NPI | 1407090350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES A. GROSS President 708-474-2700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: IL 036-063384) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038-006292) |
| Enumeration Date | 2009-04-22 |
| Last Update Date | 2015-07-22 |