| NPI | 1588845333 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOALICE MARIE RYAN Owner 815-936-0400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: IL 056005395) |
| Enumeration Date | 2007-11-21 |
| Last Update Date | 2010-11-17 |