| NPI | 1396966933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN A HETTINGER President 773-275-7977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: IL 038009186) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2013-10-25 |