| NPI | 1871030130 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID GIANFRANCESCO A VP Model Development 312-922-8486 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2017-01-25 |
| Last Update Date | 2017-01-25 |