| NPI | 1477211704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUANA GRANADOS Credentialing Director 630-575-1980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 225100000X Physical Therapist | |
| Enumeration Date | 2021-12-03 |
| Last Update Date | 2025-10-01 |