| NPI | 1841675493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNEN BOYD Member/ Chiropractic Physician 630-569-2354 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038.012848) |
| Enumeration Date | 2015-07-24 |
| Last Update Date | 2015-07-24 |