| NPI | 1902931397 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEON M HUDDLESTON President 312-399-2165 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: IL 036113839) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2020-08-22 |