NPI | 1871201319 |
---|---|
Entity Type | Organization |
Authorized Contact | MIGENA ZAIMI Manager 224-329-5602 |
Organization Subpart ? | No |
Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine |
Additional Taxonomies | 111N00000X Chiropractor |
261QP2000X Clinic/Center, Physical Therapy | |
Enumeration Date | 2022-11-14 |
Last Update Date | 2022-11-14 |