| NPI | 1528710456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMED ALY EL-MEGHALLAWY Owner Administrator 708-369-7956 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2022-01-21 |
| Last Update Date | 2022-01-21 |