| NPI | 1285842161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD ALLEN FLORES Owner 309-687-5450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: IL 036038035) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2008-02-21 |