| NPI | 1750733788 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AIDA BECKERLY President 773-554-6055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2016-07-01 |
| Last Update Date | 2016-09-13 |