| NPI | 1841597010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF REBARCAK President 630-780-1079 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 111N00000X Chiropractor |
| 133V00000X Dietitian, Registered | |
| Enumeration Date | 2011-02-23 |
| Last Update Date | 2011-02-23 |