| NPI | 1932647823 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD ROACH Owner 630-210-4863 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2017-02-10 |
| Last Update Date | 2017-02-10 |