| NPI | 1073869574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL RIESELMAN Owner 630-795-1889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209009686) |
| Additional Taxonomies | 111NX0100X Chiropractor, Occupational Health (Licence: IL 038010007) |
| 163WP0000X Registered Nurse, Pain Management (Licence: IL 041384754) | |
| 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: IL 036110569) | |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: IL 036111510) | |
| 208D00000X General Practice (Licence: IL 036111510) | |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: IL 036110569) | |
| 225100000X Physical Therapist (Licence: IL 070019141) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: IL 209009686) | |
| 363LX0106X Nurse Practitioner, Occupational Health (Licence: IL 209009686) | |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine | |
| Enumeration Date | 2012-08-02 |
| Last Update Date | 2014-02-11 |