| NPI | 1144358375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAROSLAW PRUS President 773-283-7535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070-012652) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070.012652) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2011-11-18 |