NPI | 1992886485 |
---|---|
Entity Type | Organization |
Authorized Contact | BRENDA ANN BOGUE Physical Therapist 847-217-2564 |
Organization Subpart ? | No |
Primary Taxonomy | 2251G0304X Physical Therapist, Geriatrics (Licence: IL 070.009669) |
Enumeration Date | 2006-10-18 |
Last Update Date | 2020-08-22 |