| NPI | 1588535082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREG BANKS Owner 847-867-4253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 225700000X Massage Therapist |
| 363LF0000X Nurse Practitioner, Family | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 111NR0400X Chiropractor, Rehabilitation | |
| Enumeration Date | 2025-09-16 |
| Last Update Date | 2025-10-02 |