| NPI | 1023062601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOMINIC MARTIN SERPICO Director, Finance 630-588-7891 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center Rehabilitation |
| Additional Taxonomies | 261QM1300X Clinic/Center Multi-Specialty |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2020-08-22 |