| NPI | 1922191105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FLORA L. SAMPANG President 773-202-4720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: IL 001010361) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: IL 001010361) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2014-05-12 |