| NPI | 1548629512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN P MCSHEA Doctor Of Chiropractor 630-939-1019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: IL 038012079) |
| Enumeration Date | 2016-02-18 |
| Last Update Date | 2016-02-18 |