| 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 |