| NPI | 1174013452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARUN KUMAR Manager 224-777-8045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 208100000X Physical Medicine & Rehabilitation | |
| Enumeration Date | 2018-05-13 |
| Last Update Date | 2023-04-06 |