| 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 |