| NPI | 1366763765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY SUE VINCENT Physical Therapist 847-723-3876 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: IL 070-010881) |
| Enumeration Date | 2010-06-20 |
| Last Update Date | 2010-06-20 |