| NPI | 1639822737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEELESH PATEL Account Officer 847-730-3276 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2022-01-28 |
| Last Update Date | 2023-10-27 |