| NPI | 1407307812 |
|---|---|
| Doing Business As | UIC HEALTHSPAN FACULTY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | BO FERNHALL Dean, Applied Health Sciences 312-996-6695 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2016-10-20 |
| Last Update Date | 2022-01-20 |