| NPI | 1083132088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGIE JOELLENBECK Hr Assistant 309-674-7874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070023184) |
| Enumeration Date | 2017-08-30 |
| Last Update Date | 2017-08-30 |