| NPI | 1801347869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON PATEL Director 847-730-3276 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2016-10-14 |
| Last Update Date | 2016-10-14 |