| 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 |