| NPI | 1760759088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD KIANG Physician 815-439-2121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: IL 036-076533) |
| Enumeration Date | 2011-12-01 |
| Last Update Date | 2011-12-01 |