| NPI | 1881888485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD DALE WASSON President 630-848-1708 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: IL 036043862) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038008808) |
| 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: IL 1640091972) | |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2009-05-21 |