| NPI | 1043547268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER CHUNG Administrator 847-942-6512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2009-11-09 |
| Last Update Date | 2010-10-05 |