| NPI | 1720877483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA SIMON Manager/ Physical Therapist 847-276-0772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2025-04-30 |
| Last Update Date | 2025-04-30 |