NPI | 1194172148 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM BUCHAR Owner 630-820-1330 |
Organization Subpart ? | No |
Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: IL 038011555) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038011851) |
207R00000X Internal Medicine (Licence: IL 038011555) | |
363AM0700X Physician Assistant, Medical (Licence: IL 085002931) | |
Enumeration Date | 2016-05-19 |
Last Update Date | 2019-09-11 |