NPI | 1003164906 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMEKA WILLIAMS-MUHAMMAD Owner 773-941-9245 |
Organization Subpart ? | No |
Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
261QP2000X Clinic/Center, Physical Therapy (Licence: IL 070015850) | |
Enumeration Date | 2012-08-27 |
Last Update Date | 2023-03-24 |