| NPI | 1205221124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASAD CHEEMA President 815-725-7200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2015-03-30 |