| NPI | 1972049385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | APOLINARIO OCCENA DELA CRUZ President 312-296-1404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2017-01-09 |
| Last Update Date | 2017-01-09 |