| NPI | 1538455183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD KIM Executive Directo 773-816-0141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: IL 036123576) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: IL 036123576) |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: IL 036123576) | |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2011-06-22 |