| NPI | 1720537657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA JOSUPAIT President 630-240-2962 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: IL 070012467) |
| Enumeration Date | 2016-10-04 |
| Last Update Date | 2016-10-26 |