| NPI | 1639297765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY LEPRICH-GORT President 847-561-9630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070011525) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2020-08-22 |