NPI | 1487838363 |
---|---|
Entity Type | Organization |
Authorized Contact | DANIEL PETER KEZON Chiropractor 708-429-6061 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038010927) |
Enumeration Date | 2007-12-27 |
Last Update Date | 2007-12-27 |