NPI | 1053621391 |
---|---|
Entity Type | Organization |
Authorized Contact | LAURA MRAZ Owner 312-733-0883 |
Organization Subpart ? | No |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: IL 056009137) |
Additional Taxonomies | 104100000X Social Worker |
222Q00000X Developmental Therapist | |
2251P0200X Physical Therapist, Pediatrics | |
225XP0200X Occupational Therapist, Pediatrics | |
235Z00000X Speech-Language Pathologist, | |
Enumeration Date | 2010-10-20 |
Last Update Date | 2025-04-16 |