| NPI | 1023216819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANATOLY MOTEL ROZMAN Medical Director 815-608-6446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2015-05-01 |