| NPI | 1962833095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL WILLIAM MCKELLER Doctor 708-863-1001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038012038) |
| Enumeration Date | 2013-11-27 |
| Last Update Date | 2013-11-27 |