| NPI | 1578889242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAE YONG CHUNG President 262-653-9208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WI 4598-012) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WI 4600-012) |
| Enumeration Date | 2010-04-20 |
| Last Update Date | 2011-01-20 |