NPI | 1568770444 |
---|---|
Entity Type | Organization |
Authorized Contact | TIMOTHY JAMES ERICKSON President 630-983-1805 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038010212) |
Enumeration Date | 2010-09-14 |
Last Update Date | 2021-07-29 |