| NPI | 1891106258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OSAMA RAMSEY Physician 708-579-4900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| 261QX0100X Clinic/Center, Occupational Medicine | |
| Enumeration Date | 2014-05-19 |
| Last Update Date | 2020-05-01 |