NPI | 1013229319 |
---|---|
Entity Type | Organization |
Authorized Contact | CHAD ROBERT GILLILAND Owner 630-334-2686 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070010917) |
Enumeration Date | 2010-07-02 |
Last Update Date | 2010-07-02 |