| NPI | 1053573485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANINE FREEBERG Owner 773-531-4350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: IL 70010876) |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2008-09-05 |