| NPI | 1013044536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER L MOKY Physical Therapist 847-384-6804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: IL 070013246) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2020-08-22 |