NPI | 1538430814 |
---|---|
Doing Business As | PARK RIDGE SPINE AND SPORTS MEDICINE |
Entity Type | Organization |
Authorized Contact | ALEXANDER PARK Chiropractic Physician/Owner 847-518-5515 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038012118) |
Enumeration Date | 2012-01-19 |
Last Update Date | 2023-09-12 |