| NPI | 1568333094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN COUCH Chief Executive Officer 224-777-8045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2025-09-17 |
| Last Update Date | 2025-10-13 |