NPI | 1184746984 |
---|---|
Entity Type | Organization |
Authorized Contact | KEITH LEWIS FABRIQUE President 217-233-0650 |
Organization Subpart ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: IL 042618013) |
Enumeration Date | 2007-04-04 |
Last Update Date | 2020-08-22 |