| NPI | 1063739555 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOAN LAWRENCE Director 773-755-7566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: IL 070007656) |
| Enumeration Date | 2010-04-23 |
| Last Update Date | 2010-04-23 |