| NPI | 1184139099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLAINE DE GUZMAN President 224-577-8734 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070017618) |
| Enumeration Date | 2017-12-14 |
| Last Update Date | 2019-06-11 |