| NPI | 1598209728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS WINKLER Advisor 708-275-8518 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: SC 1061) |
| Enumeration Date | 2016-12-07 |
| Last Update Date | 2016-12-07 |