| NPI | 1497323570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LINSNER In House Counsel 847-912-2297 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Additional Taxonomies | 204R00000X Electrodiagnostic Medicine |
| 208100000X Physical Medicine & Rehabilitation | |
| 2083A0300X Preventive Medicine, Addiction Medicine | |
| Enumeration Date | 2021-06-15 |
| Last Update Date | 2021-06-15 |