| 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 |