| NPI | 1477739365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL J SULLIVAN Owner/Physical Therapist 847-381-8812 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-01-10 |
| Last Update Date | 2008-05-28 |