Organization
PRINCIPLE PERFORMANCE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL JEREMY GONTAREK DC, MSC, DACBN (CHIROPRACTIC PHYSICIAN)
(630) 709-2868
Entity
Organization
Contact information
Practice address
200 HOWARD AVE STE 230, DES PLAINES, IL 60018-5908
(224) 725-3151
Mailing address
200 HOWARD AVE STE 230, DES PLAINES, IL 60018-5908
(224) 725-3151
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
—
—
Other
Enumeration date
08/26/2022
Last updated
08/26/2022
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