| NPI | 1477724946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD GREEN Director Of Business Development 773-685-8482 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: IL 070009026) |
| Enumeration Date | 2008-03-12 |
| Last Update Date | 2011-10-19 |