NPI | 1831112176 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID AARON WILLIAMSON Owner 630-377-7788 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist |
Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 042-617844) |
207Q00000X Family Medicine (Licence: IL 042-617844) | |
Enumeration Date | 2006-07-26 |
Last Update Date | 2022-08-22 |