NPI | 1760618581 |
---|---|
Entity Type | Organization |
Authorized Contact | SADNA MOHAN Billing Manager 630-375-6500 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038-010871) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: IL 198-000759) |
Enumeration Date | 2009-06-08 |
Last Update Date | 2010-03-03 |