NPI | 1053806406 |
---|---|
Entity Type | Organization |
Authorized Contact | KAMBIZ MAGHSOUDI Owner 630-961-1888 |
Organization Subpart ? | No |
Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: IL 036081581) |
Enumeration Date | 2018-06-28 |
Last Update Date | 2023-01-18 |