| NPI | 1235614058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN MCGIVERN Cco 630-296-2222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2018-09-27 |
| Last Update Date | 2018-09-27 |