| NPI | 1124075288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA M VALLANDIGHAM President 815-306-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care |
| 208100000X Physical Medicine & Rehabilitation | |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2025-04-08 |