| NPI | 1467600056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN MOORE Owner/CEO 312-332-2265 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05005551A) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: IN 05005551A) |
| Enumeration Date | 2008-09-08 |
| Last Update Date | 2008-09-08 |