NPI | 1710120647 |
---|---|
Entity Type | Organization |
Authorized Contact | THERESA ROSE STARK Founder/CEO/Administrative Dir. 773-826-9455 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038011180) |
Enumeration Date | 2009-04-08 |
Last Update Date | 2009-11-06 |