| NPI | 1417502246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUANA GRANADOS Credentialing Manager 630-575-1980 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2019-08-08 |
| Last Update Date | 2019-08-08 |