| NPI | 1821128620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNISE RYLANDER Office Mgr 815-729-2999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: IL D5753-514-8) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2008-07-08 |