| NPI | 1558778381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHY OSMAN Owner 708-261-3803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: IL 007373) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: IL 000441) |
| Enumeration Date | 2014-07-14 |
| Last Update Date | 2015-12-26 |