| NPI | 1881843290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AHMED MOHAMED Owner 773-721-5656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: IL 070007862) |
| Enumeration Date | 2008-09-10 |
| Last Update Date | 2008-09-10 |