NPI | 1558831776 |
---|---|
Entity Type | Organization |
Authorized Contact | JUANA GRANADOS Credentialing Manager 630-575-1980 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 225100000X Physical Therapist |
225X00000X Occupational Therapist | |
Enumeration Date | 2018-11-30 |
Last Update Date | 2018-11-30 |