| NPI | 1700241510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON HUI Owner 847-632-9919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: IL 03607033) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| 111NR0400X (Licence: IL 038008505) | |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: IL 036070333) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: IL 036070333) | |
| 225100000X Physical Therapist (Licence: IL 070021866) | |
| 363A00000X Physician Assistant (Licence: IL 085004430) | |
| 363L00000X Nurse Practitioner (Licence: IL 041142505) | |
| Enumeration Date | 2015-12-21 |
| Last Update Date | 2015-12-21 |