| NPI | 1003247008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM CAWLEY Manager 773-525-8744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine |
| Enumeration Date | 2013-12-02 |
| Last Update Date | 2013-12-02 |