| NPI | 1366886509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINAMARIE J ASHBECK Owner 847-295-1241 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070011039) |
| Enumeration Date | 2013-04-18 |
| Last Update Date | 2013-11-21 |