| NPI | 1225547045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE ACERON BADILLO Owner 847-868-8396 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070011033) |
| Enumeration Date | 2017-09-25 |
| Last Update Date | 2022-07-21 |