| NPI | 1851593271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOMENIC ANTHONY CUSANO Doctor Owner 773-631-0660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038-005961) |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2020-08-22 |