| 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) |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2025-10-09 |