| NPI | 1801891148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE BUSH Credentialing Manager 847-584-2604 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist | |
| 251E00000X Home Health (Licence: NC HC1797) | |
| 261QH0700X Clinic/Center Hearing and Speech | |
| 261QP2000X Clinic/Center Physical Therapy (Licence: NC HC1797) | |
| 261QX0100X Clinic/Center Occupational Medicine | |
| Enumeration Date | 2005-06-14 |
| Last Update Date | 2022-10-12 |