| NPI | 1528810421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEFANIE SHAW CEO 312-437-1129 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 111NR0400X Chiropractor, Rehabilitation |
| Enumeration Date | 2024-04-03 |
| Last Update Date | 2024-04-03 |