| NPI | 1467583955 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PANNA U GOSWAMI Physician Owner 309-846-4716 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: IL 036-061013) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2023-08-30 |