| NPI | 1780058479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YUNDEE YNGSON Operations Officer 708-898-4777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: IL 070016737) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: IL 146007427) |
| 261QP2000X Clinic/Center Physical Therapy (Licence: IL 070015213) | |
| 261QX0100X Clinic/Center Occupational Medicine (Licence: IL 056002536) | |
| Enumeration Date | 2015-11-18 |
| Last Update Date | 2015-11-18 |