| NPI | 1750550703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA E SARAFIN Office/Billing Manager 847-699-8888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: IL 036100991) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038008965) |
| 111N00000X Chiropractor (Licence: IL 038008113) | |
| Enumeration Date | 2008-02-25 |
| Last Update Date | 2008-09-08 |