| NPI | 1992142442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEREDY A PARKER Manager/Physical Therapist 773-368-6176 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070009700) |
| Enumeration Date | 2013-05-23 |
| Last Update Date | 2013-05-23 |