| NPI | 1588965107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORIBETH COHEN Owner 847-657-0881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: IL 070005887) |
| Enumeration Date | 2010-11-12 |
| Last Update Date | 2010-11-12 |