| NPI | 1700909173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH GOLDMAN Office Manager 773-975-1818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 1681626) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2020-08-22 |