| NPI | 1275837734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA A GROSVENOR Physician 773-271-2900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: IL 036065883) |
| Enumeration Date | 2010-12-27 |
| Last Update Date | 2011-01-05 |