| NPI | 1851682363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH TONIDO Program Manager 773-517-6489 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: IL 070.007617) |
| Enumeration Date | 2011-05-02 |
| Last Update Date | 2011-05-02 |