NPI | 1568702439 |
---|---|
Entity Type | Organization |
Authorized Contact | JASON ALPHA DURNAS Clinic Director 630-699-9858 |
Organization Subpart ? | No |
Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: IL 038.012238) |
Enumeration Date | 2013-02-28 |
Last Update Date | 2014-04-01 |