| NPI | 1407129356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA MALLARI BARNARD Office Manager 815-601-4613 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: IL 261QP2000X) |
| Enumeration Date | 2012-02-22 |
| Last Update Date | 2012-02-22 |