| NPI | 1356507024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE KAY FIDLER Owner 708-422-0990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: IL 070008168) |
| Enumeration Date | 2008-08-01 |
| Last Update Date | 2010-04-20 |