| NPI | 1952199978 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAN ROMAN CFO 773-415-4030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2025-04-29 |
| Last Update Date | 2025-04-29 |