| NPI | 1013534155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLUSOLA OLOWE CEO 312-933-0661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine |
| 2081S0010X Physical Medicine & Rehabilitation Sports Medicine | |
| 2083A0300X Preventive Medicine Addiction Medicine | |
| 2083B0002X Preventive Medicine Obesity Medicine | |
| Enumeration Date | 2020-07-05 |
| Last Update Date | 2020-07-05 |