| NPI | 1992138879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD M KRYS President 847-807-5502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038008124) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 038008124) |
| Enumeration Date | 2013-08-15 |
| Last Update Date | 2014-05-22 |