| Organization Name: | FIT FOR LIFE REHAB AND FITNESS CLINIC, INC. |
| NPI Number: | 1417179979 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SUSAN E DUTTGE (OWNER) |
| Mailing Address: | 655 Rockland Rd Suite 101 Lake Bluff |
| State: | IL US |
| Postal Code: | 600441782 |
| Phone Number: | 8472344847 |
| Fax Number: | |
| NPI Enumeration Date: | 05/03/2007 |
| NPI Last Update Date: | 11/18/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |