| NPI | 1588629018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN PETER TIRABASSO President Officer/Treating Clnician 630-762-9415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038-009684) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038-009682) |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2008-01-08 |