| NPI | 1497181382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEMAN EZRA Owner 224-875-1012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: IL 070.007385) |
| Enumeration Date | 2013-09-24 |
| Last Update Date | 2013-09-24 |