NPI | 1619249216 |
---|---|
Entity Type | Organization |
Authorized Contact | JONATHAN ENGSTROM Owner/Chiropractic Physician 847-949-0063 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038.011858) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180000335) |
111N00000X Chiropractor (Licence: IL 038011858) | |
171100000X Acupuncturist (Licence: IL 198001049) | |
Enumeration Date | 2012-01-30 |
Last Update Date | 2020-09-12 |