| NPI | 1710164249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAIRE SULLIVAN Practice Manager 847-570-0970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038008654) |
| Enumeration Date | 2008-01-28 |
| Last Update Date | 2008-01-28 |