| NPI | 1144464108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIANNE B. BAGACINA President 773-575-3399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 060.010187) |
| Enumeration Date | 2009-04-21 |
| Last Update Date | 2009-04-21 |