| NPI | 1003206848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY MELBY SCHANKS Owner 815-545-7761 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: IL 146.010700) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225XP0200X Occupational Therapist, Pediatrics | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2015-02-02 |
| Last Update Date | 2023-07-25 |