| NPI | 1578015889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNFIER HELEN LAVIN Physical Therapist, Managing Member 847-366-0991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: WI 12283) |
| Enumeration Date | 2016-11-03 |
| Last Update Date | 2016-11-03 |