| NPI | 1720476419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA RACKOUSKI Principle/Registered Agent 708-822-8039 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IN 08002683A) |
| Enumeration Date | 2015-01-02 |
| Last Update Date | 2015-01-02 |