| NPI | 1043368731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA STASZAK President 773-907-3599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070008600) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2020-08-22 |