| NPI | 1619095668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRATHAN SIRIVAT Physical Therapist 847-251-1231 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251G0304X Physical Therapist, Geriatrics (Licence: IL 070006385) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2020-08-22 |