NPI | 1629155114 |
---|---|
Entity Type | Organization |
Authorized Contact | THOMAS SCOTT MCNULTY President 847-831-5252 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor |
Additional Taxonomies | 225100000X Physical Therapist |
Enumeration Date | 2006-11-01 |
Last Update Date | 2011-11-14 |