| NPI | 1700132891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH CHARLES RICHARD President 630-830-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038010561) |
| Enumeration Date | 2012-07-26 |
| Last Update Date | 2012-07-26 |