| NPI | 1598131393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK HOWARD CABLE Owner 847-644-1280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | |
| 261QX0100X Clinic/Center, Occupational Medicine (Licence: IL 056010180) | |
| 310400000X Assisted Living Facility | |
| Enumeration Date | 2015-08-15 |
| Last Update Date | 2021-09-13 |