| NPI | 1285371435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREG DYER Administrator 630-254-4376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2022-05-18 |
| Last Update Date | 2022-05-18 |