| NPI | 1790082154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN L PHILIP Owner 773-682-9348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: IL 070011749) |
| Enumeration Date | 2011-02-22 |
| Last Update Date | 2011-02-22 |