| 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 |