| NPI | 1841473014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL MARK PATRNCHAK Physical Therapist Owner 815-399-5734 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 0700002325) |
| Enumeration Date | 2007-12-11 |
| Last Update Date | 2007-12-11 |