| NPI | 1255602827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AHMED ZAKY HUSSEIN President 773-340-7903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: IL 070.005217) |
| Additional Taxonomies | 261QR0400X Clinic/Center Rehabilitation (Licence: IL 070.005217) |
| Enumeration Date | 2012-01-13 |
| Last Update Date | 2012-03-03 |