| NPI | 1356055990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYNE GOLDSTEIN President 847-324-3976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| 225X00000X Occupational Therapist | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2023-01-09 |
| Last Update Date | 2023-01-09 |