NPI | 1558491712 |
---|---|
Entity Type | Organization |
Authorized Contact | ADAM MICHAEL HUTTON President 847-776-5101 |
Organization Subpart ? | No |
Primary Taxonomy | 111NR0400X Chiropractor Rehabilitation (Licence: IL 38010799) |
Additional Taxonomies | 2084P2900X Psychiatry & Neurology Pain Medicine (Licence: IL 36078457) |
Enumeration Date | 2007-03-06 |
Last Update Date | 2013-09-25 |