NPI | 1356489694 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSEPH MAJERCIK Owner 815-337-7410 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: IL 060.008363) |
Enumeration Date | 2007-02-01 |
Last Update Date | 2008-03-07 |