| NPI | 1588101364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER JACKSON Office Manager 847-680-9200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038.010912) |
| Enumeration Date | 2017-01-31 |
| Last Update Date | 2017-01-31 |