| NPI | 1558799924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN ATKINSON President 847-223-3158 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: IL 036.042751) |
| Additional Taxonomies | 208D00000X General Practice |
| 207R00000X Internal Medicine (Licence: IL 036.042751) | |
| 363L00000X Nurse Practitioner (Licence: IL 209-009124) | |
| Enumeration Date | 2013-10-23 |
| Last Update Date | 2014-02-06 |