| NPI | 1861536393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER L. WISE Owner 630-355-8022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038-009021) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038009021) |
| Enumeration Date | 2007-02-17 |
| Last Update Date | 2013-01-09 |