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 |