| NPI | 1780186742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARA GOUGE Revenue Cycle Manager 847-393-4505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2018-03-06 |
| Last Update Date | 2018-03-06 |