NPI | 1811179070 |
---|---|
Entity Type | Organization |
Authorized Contact | KRISTINA L SARGENT Owner / Coe 630-682-5090 |
Organization Subpart ? | No |
Primary Taxonomy | 111NI0900X Chiropractor, Internist (Licence: IL 038007040) |
Additional Taxonomies | 111NN1001X Chiropractor, Nutrition (Licence: IL 038007040) |
Enumeration Date | 2007-11-29 |
Last Update Date | 2010-11-04 |