| NPI | 1184349995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA FISHMAN Manager And Physical Therapist 224-255-7678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2022-10-05 |
| Last Update Date | 2022-10-05 |