| NPI | 1972365187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN ANDERSON Co Owner/ CEO 312-513-0170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| 261QP2000X Clinic/Center, Physical Therapy | |
| Enumeration Date | 2024-01-24 |
| Last Update Date | 2024-01-24 |