| NPI | 1124112461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALI RAFIE-SAFAIE Manager 773-229-9600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: IL 036096853) |
| Additional Taxonomies | 111N00000X Chiropractor |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IL 016004709) | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2011-08-04 |