| NPI | 1790014108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT DOMINGO Owner/President 773-472-0700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038-010182) |
| Enumeration Date | 2009-12-14 |
| Last Update Date | 2013-10-18 |