| NPI | 1235251026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GOPAL TERALANDUR RAGHUNATH Owner 847-564-1349 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070013042) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2008-07-15 |