| NPI | 1407020233 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAMAL RIAD IBRAHIM Physical Therapist 708-566-0816 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: IL 060009592) |
| Enumeration Date | 2008-04-14 |
| Last Update Date | 2008-04-14 |