NPI | 1912174418 |
---|---|
Doing Business As | SPORTS & SPINAL REHAB CENTER |
Entity Type | Organization |
Authorized Contact | MELVIN J. D'SOUZA President 312-842-2447 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: IL 060009430) |
Enumeration Date | 2008-05-14 |
Last Update Date | 2008-05-14 |