NPI | 1851681134 |
---|---|
Doing Business As | AVANT-GARDE MEDICINE |
Entity Type | Organization |
Authorized Contact | DEEPTHI S CULL President 847-767-0137 |
Organization Subpart ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NV 12455) |
Enumeration Date | 2011-04-07 |
Last Update Date | 2020-07-20 |