| NPI | 1548703549 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEAH GUIDOLIN Chiropractor/Owner 331-204-6196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor Rehabilitation (Licence: IL 038012959) |
| Enumeration Date | 2016-11-22 |
| Last Update Date | 2017-01-27 |