| NPI | 1003049750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AGATA RAGAN Manager 773-814-2670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: IL 070.012869) |
| Enumeration Date | 2009-08-28 |
| Last Update Date | 2009-08-28 |