| NPI | 1992462568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAMBIZ T MAGHSOUDI Owner 630-961-1888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 111NR0400X |
| 261QP2000X Clinic/Center, Physical Therapy | |
| 261QP3300X Clinic/Center, Pain | |
| Enumeration Date | 2021-11-18 |
| Last Update Date | 2021-11-18 |