| NPI | 1487722716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANELLE PATTARA Biller 630-890-2758 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NN1001X Chiropractor, Nutrition (Licence: IL 038.008810) |
| Additional Taxonomies | 111NN1001X Chiropractor, Nutrition (Licence: IL 038008810) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2011-08-15 |