| NPI | 1871546473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY W SWANSON CFO, Business Manager 847-776-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2016-03-01 |