| NPI | 1699215848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS FRAWLEY President 815-236-4314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: IL 070018729) |
| Additional Taxonomies | 251E00000X Home Health (Licence: IL 070018729) |
| Enumeration Date | 2017-03-06 |
| Last Update Date | 2017-03-06 |