| NPI | 1316580541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN LEUTHNER Owner 847-363-0863 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine | |
| 208VP0000X Pain Medicine, Pain Medicine | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine | |
| Enumeration Date | 2019-10-21 |
| Last Update Date | 2024-08-23 |