| NPI | 1700838331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH LAPORTA Owner 630-427-4192 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: IN 05006795A) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2013-04-30 |