| NPI | 1376178962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTI LIVINGSTONE Authorized Official 773-459-6714 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2020-03-04 |
| Last Update Date | 2022-06-01 |