| NPI | 1215805205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YURIY BUKHALO Owner 847-962-4187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2025-10-29 |
| Last Update Date | 2025-10-29 |