| NPI | 1639401144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE ANNE MIESMER Owner/Physician 312-223-0692 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038009296) |
| Enumeration Date | 2010-02-08 |
| Last Update Date | 2011-06-13 |