| NPI | 1932292992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH J OLSON Owner 630-897-1895 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038008765) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038-012547) |
| 111N00000X Chiropractor (Licence: IL 038011191) | |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2021-02-15 |