NPI | 1003235979 |
---|---|
Entity Type | Organization |
Authorized Contact | BEA KABBANI Administrator 847-724-7600 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 0070006734) |
225X00000X Occupational Therapist (Licence: IL 0056000758) | |
235Z00000X Speech-Language Pathologist, (Licence: IL 146009200) | |
Enumeration Date | 2014-04-08 |
Last Update Date | 2014-04-08 |