| NPI | 1104361898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLEEN MARIE SKOTNICKI Physical Therapist 847-977-7188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: IL 070013436) |
| Enumeration Date | 2017-01-04 |
| Last Update Date | 2017-01-04 |