NPI | 1639969405 |
---|---|
Entity Type | Organization |
Authorized Contact | TAMMISHIA LITTLE Authorized Rep 773-960-1202 |
Organization Subpart ? | No |
Primary Taxonomy | 261QI0500X Clinic/Center, Infusion Therapy |
Additional Taxonomies | 207RS0010X Internal Medicine, Sports Medicine |
261Q00000X Clinic/Center | |
261QP2000X Clinic/Center, Physical Therapy | |
Enumeration Date | 2025-05-07 |
Last Update Date | 2025-05-07 |