| NPI | 1861960601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANNER SHULTZ Clinical Exercise Physiologist 630-390-8417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2018-11-09 |
| Last Update Date | 2018-11-09 |