| NPI | 1689728701 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN ROBERT BOURDAGE President 773-545-9379 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038-010680) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2023-02-06 |