| NPI | 1992856876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY LEASENBY Practice Manager 630-851-9222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NI0900X Chiropractor, Internist (Licence: IL 038004891) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2007-09-10 |