NPI | 1598379075 |
---|---|
Former Legal Business Name | CENTRAL DUPAGE SURGICAL, INC |
Entity Type | Organization |
Authorized Contact | DR. ALLAN KIRCHNER-GOMEZ President 630-233-8343 |
Organization Subpart ? | No |
Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
Additional Taxonomies | 314000000X Skilled Nursing Facility |
208100000X Physical Medicine & Rehabilitation | |
Enumeration Date | 2020-09-02 |
Last Update Date | 2023-05-03 |