| NPI | 1033509914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DINA PETRICCA Owner/President 847-372-5735 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: IL 070009748) |
| Enumeration Date | 2015-01-29 |
| Last Update Date | 2015-01-29 |