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 |