| NPI | 1962580753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNINE DUNNELL Director Of PT Services 847-692-6964 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070010476) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-08-22 |