NPI | 1124075288 |
---|---|
Entity Type | Organization |
Authorized Contact | DANA M. VALLANDIGHAM President 630-789-3338 |
Organization Subpart ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
Enumeration Date | 2006-05-27 |
Last Update Date | 2020-08-22 |