| NPI | 1679873111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY FRANCES VON GOEBEN Administrator/Director Of Operation 773-617-1447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2010-11-01 |
| Last Update Date | 2010-11-01 |