| NPI | 1720123797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID H. DURRANT Director 847-888-1811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NN0400X Chiropractor, Neurology |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038-004673) |
| 111N00000X Chiropractor | |
| 225100000X Physical Therapist | |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2023-02-03 |