| NPI | 1801046958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARSHALL F. BRUSTEIN Owner 217-872-8204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IL 036104593) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IL 056006099) |
| 225X00000X Occupational Therapist (Licence: IL 056005019) | |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 036104593) | |
| Enumeration Date | 2008-09-25 |
| Last Update Date | 2008-09-25 |