NPI | 1104335462 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSEPH CAJES ALZONA CEO 773-338-8930 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: IL 070012538) |
Enumeration Date | 2017-09-29 |
Last Update Date | 2017-09-29 |