| NPI | 1932453347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FERNANDO RODRIGUE Physical Therapist Assistant 708-469-8497 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: IL 160005776) |
| Enumeration Date | 2012-11-07 |
| Last Update Date | 2012-11-07 |