| NPI | 1487820205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE C EARLEY Physical Therapist 847-204-9960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: IL 070-008568) |
| Enumeration Date | 2008-05-01 |
| Last Update Date | 2008-05-01 |