| NPI | 1306915095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMIE L. KING Physical Therapist 312-238-7891 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain (Licence: IL 070-011675) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2020-08-22 |