NPI | 1700185741 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID FOO Vice President 847-722-8704 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070013796) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: IL 198000668) |
171100000X Acupuncturist (Licence: IL 198000516) | |
Enumeration Date | 2011-03-16 |
Last Update Date | 2020-05-19 |