NPI | 1457612939 |
---|---|
Entity Type | Organization |
Authorized Contact | LUCIA VALLEJO President 630-532-3697 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
Enumeration Date | 2012-05-31 |
Last Update Date | 2012-05-31 |