| NPI | 1568534162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PANNA U GOSWAMI Owner 815-754-4100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: IL 036-061013) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2020-08-22 |