| NPI | 1508267782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY A MARGUERITE Owner/Pediatric Physical Therapy 847-421-1076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: IL 070008992) |
| Enumeration Date | 2014-09-08 |
| Last Update Date | 2014-09-08 |