| NPI | 1770050668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON DOUGLAS FREEMAN Owner 708-275-4087 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2018-10-29 |
| Last Update Date | 2018-10-29 |