| NPI | 1194468280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILIANA JASMINE SILVA Owner/ Clinic Director 708-759-7903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2022-04-15 |
| Last Update Date | 2023-07-29 |