| NPI | 1467876318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIGUEL A JIMENEZ Administrator 773-954-4438 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038009097) |
| Additional Taxonomies | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: IL 238000485) |
| Enumeration Date | 2014-02-13 |
| Last Update Date | 2023-02-16 |