| NPI | 1548876063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN J. COLE Managing Physician Partner 708-236-2673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2020-09-21 |
| Last Update Date | 2020-09-21 |