| NPI | 1992832489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONDRA LANELLE BLOCKI Owner 815-220-8787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070007823) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2020-08-22 |