| NPI | 1063891240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANICA BURIC Therapist In Charge 773-827-2355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: IL 070021324) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2015-05-21 |
| Last Update Date | 2024-08-07 |