| NPI | 1629096078 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRENE D WALLACE Doctor Of Chiropractic 847-276-2785 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038009019) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2020-08-22 |