| NPI | 1114627775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL SUE LETNER Doctor Of Physical Therapy 847-571-4313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2023-03-03 |
| Last Update Date | 2023-03-03 |