| NPI | 1821415464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID S CROSSON Owner 847-382-3194 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: IL 038012190) |
| Enumeration Date | 2014-03-20 |
| Last Update Date | 2014-03-20 |