| NPI | 1497210850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA ROSE STARK Owner 773-556-5333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 111N00000X Chiropractor |
| 171100000X Acupuncturist | |
| 225200000X Physical Therapy Assistant | |
| 225700000X Massage Therapist | |
| Enumeration Date | 2019-02-08 |
| Last Update Date | 2019-02-08 |