| NPI | 1609201243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLA SALGANIK Director 847-272-7727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: IL 036116592) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 208VP0000X | |
| Enumeration Date | 2013-09-12 |
| Last Update Date | 2013-09-12 |