| NPI | 1982829545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENALD ALEXANDER TROTTIER President 312-422-0042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: IL 038-007857) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2020-08-22 |