NPI | 1619095866 |
---|---|
Entity Type | Organization |
Authorized Contact | CLIFTON SAMUEL BRERETON President 847-854-4545 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038-010298) |
Enumeration Date | 2007-03-26 |
Last Update Date | 2020-08-22 |