| NPI | 1679966220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES A DALLAS Owner/President 630-901-3870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070-002882) |
| Enumeration Date | 2015-03-06 |
| Last Update Date | 2020-05-19 |