| NPI | 1790233096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAMAREE CHARISSE GARCIA Direct Owner 312-912-2624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center Rehabilitation (Licence: IL 056009507) |
| Enumeration Date | 2016-09-14 |
| Last Update Date | 2016-10-13 |