| 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 |