| NPI | 1831351873 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY PETERSON President 708-574-0736 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038.008605) |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2024-07-16 |