| NPI | 1124326038 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL L GRAY CEO 312-617-5949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: IL 070015130) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070015130) |
| Enumeration Date | 2011-03-02 |
| Last Update Date | 2011-06-06 |