| NPI | 1497191662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J DUBICK President 773-755-9516 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038-008549) |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 208100000X Physical Medicine & Rehabilitation | |
| Enumeration Date | 2013-05-15 |
| Last Update Date | 2013-08-05 |