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 |