| NPI | 1821658428 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEBASTIAN KLISIEWICZ Owner 773-895-0708 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine |
| Enumeration Date | 2019-06-17 |
| Last Update Date | 2023-08-28 |