| NPI | 1134781974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT VAN HIGGINBOTTOM CEO 773-667-9053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 111N00000X Chiropractor |
| 111NR0400X | |
| 261QH0100X Clinic/Center, Health Services | |
| 261QM2500X Clinic/Center, Medical Specialty | |
| 261QP2000X Clinic/Center, Physical Therapy | |
| 261QP2300X Clinic/Center, Primary Care | |
| 261QP3300X Clinic/Center, Pain | |
| 261QR0200X Clinic/Center, Radiology | |
| 261QR0400X Clinic/Center, Rehabilitation | |
| 261QR0800X Clinic/Center, Recovery Care | |
| 302R00000X Health Maintenance Organization | |
| 305R00000X Preferred Provider Organization | |
| 305S00000X Point of Service | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2019-07-02 |
| Last Update Date | 2020-05-29 |