| NPI | 1386887776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMRENDRA KUMAR Administrator 630-674-1187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: IL 070016639) |
| Additional Taxonomies | 261QD1600X Clinic/Center, Developmental Disabilities (Licence: IL 056005280) |
| 261QR0400X Clinic/Center, Rehabilitation (Licence: IL 056005280) | |
| 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: IL 056005280) | |
| 261QR0404X Clinic/Center, Rehabilitation, Cardiac Facilities (Licence: IL 056005280) | |
| 261QX0100X Clinic/Center, Occupational Medicine (Licence: IL 056005280) | |
| Enumeration Date | 2009-04-14 |
| Last Update Date | 2009-05-06 |