| NPI | 1760788046 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNNETTE R MCROY Billing Coordinator 773-767-3822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038010270) |
| Enumeration Date | 2011-02-03 |
| Last Update Date | 2011-02-03 |