| NPI | 1770162992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA PAMELA BRITANICO Administrator 847-786-0123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2021-04-05 |
| Last Update Date | 2021-07-08 |