Individual
DR. MICHAEL J GONTAREK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1500 N HALSTED ST, CHICAGO, IL 60642-2517
(312) 787-7850
Mailing address
1500 N HALSTED ST, CHICAGO, IL 60642-2517
(312) 787-7850
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038.013326
IL
Other
Enumeration date
02/10/2019
Last updated
02/10/2019
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