| NPI | 1932151602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID DURRANT Chairman 847-888-1836 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 207T00000X Neurological Surgery |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2020-08-22 |