| NPI | 1699099838 |
|---|---|
| Doing Business As | CHICAGO AVE CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | STEPHEN R LONGMAN President 612-767-9900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 3171) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MN 4969) |
| Enumeration Date | 2010-03-17 |
| Last Update Date | 2010-07-08 |