| NPI | 1952657991 |
|---|---|
| Doing Business As | GENESIS CHIROPRACTIC WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | CALLISTA C LAY President 312-491-8100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038012202) |
| Enumeration Date | 2012-07-27 |
| Last Update Date | 2016-11-21 |