| NPI | 1962611772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA MARIE WASCO President 773-283-4700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038-009263) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2008-06-11 |