| NPI | 1417267709 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL KEITH MOSSELL President 773-412-4083 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038006924) |
| Enumeration Date | 2010-10-20 |
| Last Update Date | 2016-06-14 |