| NPI | 1891955878 |
|---|---|
| Former Legal Business Name | MEDCOA PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | KYOO HWAN LEE L P T 847-755-1122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070-004213) |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2008-06-12 |