NPI | 1811090491 |
---|---|
Entity Type | Organization |
Authorized Contact | EDWARD J. BEYER Owner/Chiropractor 708-614-1222 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038-006095) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070-013809) |
Enumeration Date | 2006-09-07 |
Last Update Date | 2013-10-29 |