NPI | 1972975464 |
---|---|
Entity Type | Organization |
Authorized Contact | RENALD ALEXANDER TROTTIER President 312-422-0042 |
Organization Subpart ? | No |
Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: IL 038007857) |
Enumeration Date | 2015-10-23 |
Last Update Date | 2018-03-12 |