| NPI | 1508184177 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE CARTER Director Of Administration 708-671-0771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070009229) |
| Enumeration Date | 2010-05-06 |
| Last Update Date | 2010-05-11 |