| NPI | 1144465014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA MARIE BEYER Manager 847-853-4405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070007665) |
| Enumeration Date | 2008-12-08 |
| Last Update Date | 2008-12-08 |