| NPI | 1073051017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KONRAD KOCZWARA President 773-234-1760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: IL 070.022449) |
| Enumeration Date | 2017-02-10 |
| Last Update Date | 2017-02-10 |