| NPI | 1114710852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUIS ANTONIO TORRES Owner 847-309-0903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine | |
| Enumeration Date | 2025-05-26 |
| Last Update Date | 2025-05-29 |