| NPI | 1811181191 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA KAY ZAGULA Owner/President 847-651-4419 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: IL 070.007536) |
| Enumeration Date | 2007-08-30 |
| Last Update Date | 2019-09-18 |