| NPI | 1275186033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT DOMINGO CEO 773-562-2632 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2019-07-22 |
| Last Update Date | 2020-05-26 |