NPI | 1811266554 |
---|---|
Entity Type | Organization |
Authorized Contact | JILL E HOWE President 815-477-8844 |
Organization Subpart ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
Additional Taxonomies | 111N00000X Chiropractor |
363A00000X Physician Assistant | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2011-12-27 |
Last Update Date | 2015-04-02 |