| NPI | 1689072357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS DEIGNAN Vice President 847-277-2990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038011878) |
| Enumeration Date | 2014-12-12 |
| Last Update Date | 2014-12-12 |