| NPI | 1083192165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRISTINA CAOILI AGNO Administrator 217-726-6956 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2018-08-01 |
| Last Update Date | 2018-08-01 |