Graduated: 2014
NPI: 1851792600
Practice Locations (2)
FREEFORM PHYSICAL THERAPY LLC
2906 W FULLERTON AVE
CHICAGO, IL 606472921
7736986659
MIDWEST REHABILITATION GROUP INC
1725 W 22ND ST, UNIT G
OAK BROOK, IL 605231290
6303183000
Source: CMS National Downloadable File, September 2026.