| NPI | 1629455977 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WHITNEY LEIGH FANDEL Owner 847-403-1101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038012789) |
| Additional Taxonomies | 111NP0017X Chiropractor, Pediatric Chiropractor (Licence: IL 038012789) |
| Enumeration Date | 2015-05-06 |
| Last Update Date | 2016-09-01 |