| NPI | 1831436948 |
|---|---|
| Doing Business As | ACTIVERX CHICAGO CLINIC |
| Entity Type | Organization |
| Authorized Contact | LOUISE MARIE JUCKNIESS Managing Partner 888-960-4562 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2013-01-09 |
| Last Update Date | 2013-01-09 |