NPI | 1518064724 |
---|---|
Entity Type | Organization |
Authorized Contact | CATHY LYNN SUBBER President 630-854-4511 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070012109) |
Additional Taxonomies | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: IL 036117917) |
207R00000X Internal Medicine (Licence: IL 336071528) | |
111N00000X Chiropractor (Licence: IL 038008830) | |
111N00000X Chiropractor (Licence: IL 038008574) | |
225100000X Physical Therapist (Licence: IL 070015461) | |
Enumeration Date | 2006-09-20 |
Last Update Date | 2007-10-24 |