| NPI | 1477561751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD BURNS Administrator 217-793-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 060-005580) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2020-08-22 |