| NPI | 1902082100 |
|---|---|
| Doing Business As | PERFORMANCE HEALTH MEDICAL & REHAB |
| Entity Type | Organization |
| Authorized Contact | VINCENT DOMINGO Chiropractic Physician 847-671-0555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 111N00000X Chiropractor |
| 363L00000X Nurse Practitioner | |
| 363A00000X Physician Assistant | |
| 225400000X Rehabilitation Practitioner | |
| 208VP0000X | |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2008-01-17 |
| Last Update Date | 2014-01-06 |