| NPI | 1912388182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA FRANDSEN Owner 847-217-9752 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: OK 24616) |
| Enumeration Date | 2015-06-14 |
| Last Update Date | 2022-07-06 |