| NPI | 1962685388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN ELO President 219-663-3554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: IN 05005012A) |
| Enumeration Date | 2007-12-07 |
| Last Update Date | 2008-01-22 |