| NPI | 1043592801 |
|---|---|
| Doing Business As | TYWANDA JILES |
| Entity Type | Organization |
| Authorized Contact | TYWANDA M JILES Executive Director 773-710-6897 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: IL TJ35590103P) |
| Enumeration Date | 2011-09-16 |
| Last Update Date | 2011-09-16 |