NPI | 1548980667 |
---|---|
Doing Business As | PROSPERIAN INTEGRATIVE CLINIC |
Entity Type | Organization |
Authorized Contact | JOEL EDWARD KISELKA Owner 312-285-8822 |
Organization Subpart ? | No |
Primary Taxonomy | 111NI0900X Chiropractor, Internist |
Enumeration Date | 2022-08-30 |
Last Update Date | 2022-08-30 |