NPI | 1689971715 |
---|---|
Doing Business As | BLACK CHIROPRACTIC & FAMILY WELLNESS CENTER |
Entity Type | Organization |
Authorized Contact | CONSTANCE A BLACK President 847-328-2008 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038003757) |
Enumeration Date | 2011-02-25 |
Last Update Date | 2011-02-25 |