| NPI | 1538356233 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZA DIACONESCU Medical Director 773-754-0027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: IL 036-084312) |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: IL 036-084312) |
| 225100000X Physical Therapist (Licence: IL 070013870) | |
| Enumeration Date | 2007-09-27 |
| Last Update Date | 2009-12-07 |