| NPI | 1023854502 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | CAROLE SUZANNE JOSEPH KUPISZEWSKI Owner/Clinician 630-219-0091 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy | 
| Enumeration Date | 2024-07-03 | 
| Last Update Date | 2024-07-03 |