| NPI | 1225391022 |
|---|---|
| Doing Business As | MIDWEST CONCUSSION & SPORTS MEDICINE CENTER |
| Entity Type | Organization |
| Authorized Contact | YOLANDA HILL-WILLIAMS Credentialing Manager 630-312-7865 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine |
| Enumeration Date | 2012-06-18 |
| Last Update Date | 2012-06-18 |