| NPI | 1932566890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL KATHERINE BOWMAN Owner 773-407-3663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070.010272) |
| Enumeration Date | 2016-01-24 |
| Last Update Date | 2016-01-24 |