| NPI | 1477736221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHANIAL B CLARK Owner/President 847-244-8600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038011046) |
| Enumeration Date | 2007-12-14 |
| Last Update Date | 2011-03-28 |