| NPI | 1265887491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIETTE ELLIS Physical Therapist 847-602-5016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070008366) |
| Enumeration Date | 2016-04-25 |
| Last Update Date | 2016-04-25 |