| NPI | 1437602976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENIFER BATES Business Director 847-748-8733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: IL 070006291) |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2016-08-02 |