| NPI | 1811764178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN GARDEN President 773-451-6215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2023-12-07 |
| Last Update Date | 2023-12-07 |