| NPI | 1114115268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA T STEWART Owner 773-908-0139 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: IN 01044906) |
| Enumeration Date | 2007-10-12 |
| Last Update Date | 2007-10-23 |