NPI | 1629397310 |
---|---|
Entity Type | Organization |
Authorized Contact | SCOTT B ECKELBARGER President 630-543-1929 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038011060) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070016639) |
Enumeration Date | 2010-05-20 |
Last Update Date | 2010-06-08 |