| NPI | 1275079501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HALINA B DORMAN President 847-877-1207 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070009749) |
| Enumeration Date | 2017-01-10 |
| Last Update Date | 2017-03-22 |