| NPI | 1588989057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN KENNETH BAGLEY President 630-674-3210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070014971) |
| Enumeration Date | 2010-03-28 |
| Last Update Date | 2010-03-28 |