| NPI | 1447401559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNNETTE R MCROY Billling Coordinator 773-767-3822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070011869) |
| Enumeration Date | 2008-10-07 |
| Last Update Date | 2009-04-26 |