NPI | 1639791684 |
---|---|
Doing Business As | BROAD CHIROPRACTIC & WELLNESS |
Entity Type | Organization |
Authorized Contact | MATTHEW LEON BROAD Chiropractor 630-853-8517 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor |
Enumeration Date | 2020-05-13 |
Last Update Date | 2020-05-13 |