| NPI | 1053820175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERI COOK VP Of Billing Operations 630-575-1940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2017-09-20 |
| Last Update Date | 2017-09-20 |