NPI | 1235427535 |
---|---|
Entity Type | Organization |
Authorized Contact | GRETCHEN GRAHAM Owner 847-854-4889 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: IL 070018590) |
Enumeration Date | 2011-07-20 |
Last Update Date | 2011-07-20 |