NPI | 1639140833 |
---|---|
Doing Business As | RUSSO REHABILITATION MEDICINE LTD |
Entity Type | Organization |
Authorized Contact | CARRIE LYN CHIARAVALLE Director 309-689-6049 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
Enumeration Date | 2006-01-27 |
Last Update Date | 2020-08-22 |