NPI | 1164680492 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES A DALLAS President 630-792-9790 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070-002882) |
Enumeration Date | 2008-05-22 |
Last Update Date | 2009-03-04 |