| NPI | 1285870014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL SUZANNE JOSEPH KUPISZEWSKI Owner 630-219-0091 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT24388) |
| Enumeration Date | 2008-12-29 |
| Last Update Date | 2021-12-30 |