| NPI | 1962375907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHALID A SIDDIQUI President 815-222-7257 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081H0002X Physical Medicine & Rehabilitation, Hospice and Palliative Medicine |
| Enumeration Date | 2025-09-25 |
| Last Update Date | 2025-09-25 |