| NPI | 1538295332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHISH SUD Clinic Director 708-788-3880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor Rehabilitation (Licence: IL 038010456) |
| Additional Taxonomies | 111NR0400X Chiropractor Rehabilitation (Licence: IL 038010321) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2011-08-09 |