| NPI | 1992016414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA HEDMAN Owner 312-943-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: IL 038008101) |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2012-08-22 |