| NPI | 1679871453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIN WOO LEE Owner 847-675-7025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070016580) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038009729) |
| Enumeration Date | 2011-03-03 |
| Last Update Date | 2011-03-13 |