| NPI | 1952669392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INGRYD LORENZANA President 847-891-8055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: IL 046008743) |
| Enumeration Date | 2012-04-23 |
| Last Update Date | 2012-04-23 |