| NPI | 1467856005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY A CAVENDER Owner 312-285-2121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172P00000X Naprapath (Licence: IL 181000386) |
| Additional Taxonomies | 172P00000X Naprapath (Licence: NM 01006) |
| 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: NM 01006) | |
| 208100000X Physical Medicine & Rehabilitation (Licence: NM 01006) | |
| 133N00000X Nutritionist (Licence: IL 181000386) | |
| 174400000X Specialist (Licence: IL 181000386) | |
| Enumeration Date | 2014-10-10 |
| Last Update Date | 2015-12-08 |