| NPI | 1689811648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE K GREEN Physical Therapist 847-888-3131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070-005984) |
| Enumeration Date | 2009-01-13 |
| Last Update Date | 2009-01-13 |