| NPI | 1598763864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DINA M PETRICCA President 847-390-7666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 060-008360) |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2008-02-25 |