| NPI | 1942448451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL E. HOWE President 815-477-8844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 111N00000X Chiropractor |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2009-01-22 |
| Last Update Date | 2015-04-02 |