| NPI | 1487891578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK PAYARES President 847-977-2420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: IL 070016136) |
| Enumeration Date | 2009-01-13 |
| Last Update Date | 2009-01-13 |