| NPI | 1710253380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY PORTILLO President 630-377-3344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038012132) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038012122) |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2012-03-28 |