| NPI | 1649930108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORDAN DUBOW Physical Therapist 847-987-8554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2021-12-26 |
| Last Update Date | 2023-07-12 |