| NPI | 1114086543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TABIA LEE EARL Owner 630-848-1744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: IL 070013573) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2007-11-01 |