NPI | 1487855482 |
---|---|
Entity Type | Organization |
Authorized Contact | BRIAN D GOELZ Pres. 773-281-2225 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038-007867) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: NY X008725-1) |
Enumeration Date | 2007-05-29 |
Last Update Date | 2020-11-27 |