| NPI | 1699899104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN M VAIL Physical Therapist 708-499-4497 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist Orthopedic (Licence: IL 060005170) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2008-04-30 |