NPI | 1407800899 |
---|---|
Entity Type | Organization |
Authorized Contact | MARIA G THANUGUNDLA President 773-416-3800 |
Organization Subpart ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 203.000741) |
Enumeration Date | 2006-05-20 |
Last Update Date | 2010-05-05 |