| NPI | 1669563623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS CHANCELLOR President/Owner 708-482-3443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038-010323) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2020-08-22 |