| NPI | 1821391749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL JOSEPH LOUISE President/Owner 847-274-9530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038007067) |
| Enumeration Date | 2010-12-15 |
| Last Update Date | 2010-12-15 |