| NPI | 1134676786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NELLI BAN Physical Therapist 847-691-0962 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070018194) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2021-06-01 |