NPI | 1700157385 |
---|---|
Entity Type | Organization |
Authorized Contact | JODIE L SCHULTZ Owner 847-599-9900 |
Organization Subpart ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: IL 036042751) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038010512) |
208100000X Physical Medicine & Rehabilitation (Licence: IL 036051428) | |
Enumeration Date | 2012-01-13 |
Last Update Date | 2024-03-20 |