| 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 |