NPI | 1992982664 |
---|---|
Doing Business As | ADVANCED SPINE & SPORTS CARE |
Entity Type | Organization |
Authorized Contact | JASON WAYNE INGHAM President 773-868-0347 |
Organization Subpart ? | No |
Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: IL 038008978) |
Enumeration Date | 2008-01-24 |
Last Update Date | 2023-09-11 |