| NPI | 1043572084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOU ANN GOLDSTEIN Physical Therapist 773-502-7601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: IL 070008505) |
| Enumeration Date | 2012-06-14 |
| Last Update Date | 2012-06-14 |