| NPI | 1144766882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC A MILLER President 708-403-2727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 111N00000X Chiropractor |
| 111NR0400X Chiropractor, Rehabilitation | |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
| 207RS0010X Internal Medicine, Sports Medicine | |
| 207XX0005X Orthopaedic Surgery, Sports Medicine | |
| 225100000X Physical Therapist | |
| Enumeration Date | 2017-01-18 |
| Last Update Date | 2017-01-18 |