NPI | 1831463595 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTOPHER A GARN Manager LLC Clinic Director 630-338-6131 |
Organization Subpart ? | No |
Primary Taxonomy | 111NR0400X (Licence: IL 038010382) |
Additional Taxonomies | 208D00000X General Practice |
225100000X Physical Therapist | |
225200000X Physical Therapy Assistant | |
2255A2300X Specialist/Technologist, Athletic Trainer | |
225700000X Massage Therapist | |
Enumeration Date | 2012-02-28 |
Last Update Date | 2012-04-12 |