| NPI | 1689712804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL DAVID KELLY Chiropractic Owner 630-893-7313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038006619) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2012-05-23 |