NPI | 1194959791 |
---|---|
Entity Type | Organization |
Authorized Contact | AARON WAHL President 847-946-2838 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: IL 038010389) |
Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: IL 038010389) |
261QP3300X Clinic/Center, Pain (Licence: IL 038010389) | |
Enumeration Date | 2009-05-11 |
Last Update Date | 2010-02-18 |