| NPI | 1548862535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYNE GOLDSTEIN President 847-324-3976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2020-11-13 |
| Last Update Date | 2020-11-13 |