| NPI | 1972529196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN D POULOS Owner/Chiropractic Physician 847-795-1700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038009221) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2020-08-22 |