| NPI | 1548046139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELWIN FERNANDEZ Physical Therapist 847-852-0894 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2023-09-07 |
| Last Update Date | 2023-09-07 |