| NPI | 1972013530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA RANGEL Administrator 773-767-5991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: IL 036133349) |
| Enumeration Date | 2017-10-09 |
| Last Update Date | 2017-10-09 |