| NPI | 1043744071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL EDQUIBAN President 773-805-2616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070011407) |
| Enumeration Date | 2017-04-17 |
| Last Update Date | 2017-04-17 |