NPI | 1255478335 |
---|---|
Entity Type | Organization |
Authorized Contact | POONAM MCALLISTER PT/Owner 309-663-4900 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070-007930) |
Additional Taxonomies | 231H00000X Audiologist (Licence: IL 147-000121) |
Enumeration Date | 2007-01-30 |
Last Update Date | 2024-05-29 |