| NPI | 1831634021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEONEL J GONZALEZ Manager 312-350-8776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist |
| Additional Taxonomies | 111N00000X Chiropractor |
| 225700000X Massage Therapist | |
| Enumeration Date | 2016-12-27 |
| Last Update Date | 2021-01-23 |