NPI | 1710150453 |
---|---|
Entity Type | Organization |
Authorized Contact | SANDHYA R MEESALA Physician/Owner 847-852-6478 |
Organization Subpart ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: IL 036110423) |
Enumeration Date | 2008-04-02 |
Last Update Date | 2015-06-29 |