| NPI | 1780920785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER MORALES Program Manager 773-544-0967 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: IL 160.006030) |
| Enumeration Date | 2012-12-19 |
| Last Update Date | 2012-12-19 |