| NPI | 1710701081 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY T MCANDREWS Owner 224-544-5777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 111NN1001X Chiropractor, Nutrition |
| 111NP0017X Chiropractor, Pediatric Chiropractor | |
| 111NR0400X Chiropractor, Rehabilitation | |
| Enumeration Date | 2024-11-13 |
| Last Update Date | 2024-11-25 |