| NPI | 1992403851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA D GOLDBERG Physical Therapist/Manager/Owner 847-287-2659 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2023-02-20 |
| Last Update Date | 2023-02-20 |