| NPI | 1649460270 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN PATRICK MOORE President/Owner 847-635-8080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038-005366) |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2023-03-30 |