| NPI | 1336497940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHISH SUD President 708-317-5553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X (Licence: IL 038010456) |
| Additional Taxonomies | 111NR0400X (Licence: IL 038010321) |
| 225100000X Physical Therapist | |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2021-05-25 |