| NPI | 1538055298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER SCOGGINS Co Owner/Executive Director 847-650-5042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2025-06-17 |
| Last Update Date | 2025-06-17 |