| NPI | 1003139346 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANELLE D LAO President 708-369-8122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: IL 070006803) |
| Enumeration Date | 2010-03-01 |
| Last Update Date | 2010-07-16 |