| NPI | 1104477736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN AVELINO Accounts Receivable Manager 773-724-6376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2019-09-25 |
| Last Update Date | 2019-09-25 |