| NPI | 1598021388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALDEN CLENDENIN Owner 312-346-9355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor Sports Physician (Licence: IL 038.008065) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038.008065) |
| Enumeration Date | 2012-04-05 |
| Last Update Date | 2012-06-05 |