| NPI | 1134533615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL HAUSCH Medical Director 773-239-7165 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070020316) |
| Enumeration Date | 2014-06-12 |
| Last Update Date | 2014-08-25 |