| NPI | 1750612115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA KRANTZ Rehabilitation Coordinator 847-467-6791 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2010-01-26 |
| Last Update Date | 2011-04-21 |