| NPI | 1770611386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS M BOILEVE Director 847-266-0960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: IL 038-004203) |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2024-09-26 |