| NPI | 1689180275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL TOPIELEC Administrator 815-318-5645 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| 224Z00000X Occupational Therapy Assistant | |
| 225100000X Physical Therapist | |
| Enumeration Date | 2017-12-19 |
| Last Update Date | 2018-06-16 |