NPI | 1750960167 |
---|---|
Entity Type | Organization |
Authorized Contact | JODI E PERRIN Owner/Physician 630-962-6073 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor |
Additional Taxonomies | 111NP0017X Chiropractor, Pediatric Chiropractor |
111NI0900X Chiropractor, Internist | |
111NN1001X Chiropractor, Nutrition | |
Enumeration Date | 2021-04-04 |
Last Update Date | 2021-04-09 |