| NPI | 1043342504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL S. ULMER President 815-351-1621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 70012444) |
| Enumeration Date | 2007-03-11 |
| Last Update Date | 2020-08-22 |