| NPI | 1982436549 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON LABEDZ Owner 312-972-3179 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 175F00000X Naturopath | |
| Enumeration Date | 2024-08-14 |
| Last Update Date | 2024-08-14 |