| NPI | 1639350432 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY LYNN GERITANO Chiropractic Physician 708-614-9800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038009688) |
| Enumeration Date | 2007-11-20 |
| Last Update Date | 2007-11-20 |