NPI | 1699066167 |
---|---|
Entity Type | Organization |
Authorized Contact | TARA D. GEROU Doctor Of Chiropractic, Proprietor 708-383-1200 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038011866) |
Enumeration Date | 2011-05-02 |
Last Update Date | 2011-05-18 |