| NPI | 1932354446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BLAKE PAUL SCHAFFNIT Doctor Of Chiropractic 630-403-2008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: IL 038011181) |
| Enumeration Date | 2008-11-25 |
| Last Update Date | 2008-11-25 |