| NPI | 1073989703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRFAN MEHMUD IBRAHIM Owner & CEO 312-730-4593 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MA 19060) |
| Enumeration Date | 2015-08-17 |
| Last Update Date | 2015-08-17 |