| NPI | 1447764964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY D MURPHY Member/Manager 708-227-5508 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: IL 06073832) |
| Enumeration Date | 2017-11-20 |
| Last Update Date | 2020-04-03 |