| NPI | 1982877718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER F SMITH President 847-679-4824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: IL 070001664) |
| Enumeration Date | 2008-04-13 |
| Last Update Date | 2013-06-18 |