| NPI | 1770289381 |
|---|---|
| Doing Business As | LPC |
| Entity Type | Organization |
| Authorized Contact | CALVERT WILLIAMS Staff 773-906-6690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2023-02-06 |
| Last Update Date | 2024-02-23 |