Restorative Health Center Sc
Physical Medicine & Rehabilitation, Pain Medicine in Grayslake, IL. Organization (NPI-2).
NPI number1275966418
StatusActive
Last updated in NPPESAug 12, 2013
Details
- NPI
- 1275966418
- Entity type
- Organization (NPI-2)
- Legal business name
- Restorative Health Center Sc
- Organization subpart
- No
- Enumeration date
- Aug 12, 2013
- Last updated
- Aug 12, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2081P2900X | Physical Medicine & Rehabilitation, Pain Medicine | 042.620052 | IL | Yes |
Practice location
430 Barron BlvdGrayslake, IL 60030-1666
Phone 847-548-4800 · Fax 847-548-4804
Mailing address
430 Barron BlvdGrayslake, IL 60030-1666
Phone 847-548-4800 · Fax 847-548-4804
Authorized official
Nicholas Venuti
President
8473386724
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