| NPI | 1487235891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS BENNETT Owner, Dc 847-680-9191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 111NR0400X |
| Enumeration Date | 2021-04-16 |
| Last Update Date | 2021-04-16 |