| NPI | 1023218260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA NIGAM Owner 815-397-6276 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IL 036049119) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: IL 036060469) |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2008-02-15 |