| NPI | 1013941285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACI TYLER Managing Member 773-255-7503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: IL 056-005673) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2020-08-22 |