| NPI | 1144480013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN BREMER Credentialling Specialist 815-679-6772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: IL 213256) |
| Enumeration Date | 2008-06-13 |
| Last Update Date | 2008-06-13 |