| NPI | 1568816254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AIDA BECKERLY President 773-553-6055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: MA 243290) |
| 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: IN 02004367b) | |
| 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: NY 261752) | |
| 204D00000X Neuromusculoskeletal Medicine & OMM | |
| 207Q00000X Family Medicine (Licence: MA 243290) | |
| 207Q00000X Family Medicine (Licence: IN 02004367A) | |
| 207Q00000X Family Medicine (Licence: NY 261752) | |
| Enumeration Date | 2016-04-19 |
| Last Update Date | 2016-04-19 |