| NPI | 1790983492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANE WADE Chiropractic Physician 630-554-3578 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038010945) |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2007-07-17 |