| NPI | 1821513045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENDALL LYNCH Owner 847-858-7767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MD 26189) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: DC 871791) |
| Enumeration Date | 2017-08-09 |
| Last Update Date | 2017-08-09 |