| NPI | 1891071114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS NOWICKI Owner 847-845-4281 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: IL 038010616) |
| Enumeration Date | 2011-11-01 |
| Last Update Date | 2017-01-03 |