| NPI | 1487162731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH ANTHONY GIAQUINTO President 630-246-2627 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 38009801) |
| Additional Taxonomies | 111NN1001X Chiropractor, Nutrition |
| Enumeration Date | 2018-01-19 |
| Last Update Date | 2018-01-19 |