| NPI | 1689914806 |
|---|---|
| Doing Business As | 111TH ST ARC WELLNESS |
| Entity Type | Organization |
| Authorized Contact | DONALD LYNN REED Owner 773-881-0888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038004424) |
| Enumeration Date | 2013-02-25 |
| Last Update Date | 2013-06-17 |