| NPI | 1407398126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC GREGORY GUILLEN Owner, Physical Therapist 773-599-3393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: IL 070019810) |
| Enumeration Date | 2016-11-11 |
| Last Update Date | 2017-01-06 |