| NPI | 1740408970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK CHODZEN Owner 773-745-0391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: IL 060007869) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2012-09-14 |