| NPI | 1629438585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY GONZALEZ Owner 773-696-0218 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: IL 070018975) |
| Enumeration Date | 2016-03-03 |
| Last Update Date | 2016-03-03 |