| NPI | 1245418789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE ELISE WHITESIDE Physical Therapist 630-401-3739 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070012553) |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2008-02-06 |