| NPI | 1073055026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSEN GERALD GAVINO President/Founder 630-989-5449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070014676) |
| Enumeration Date | 2016-11-08 |
| Last Update Date | 2022-02-10 |