| NPI | 1689327827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY J FETCH Physical Therapist/Owner 847-212-1560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2022-01-28 |
| Last Update Date | 2022-01-28 |