| NPI | 1487861977 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SITIHIAMPHONE PHETCHAMPHONE Owner 630-833-3799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NX0800X Chiropractor, Orthopedic (Licence: IL 038009954) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2008-11-20 |