| NPI | 1053758763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE B JENSEN Occupational Therapist 773-738-6365 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: IL 056.007801) |
| Enumeration Date | 2013-06-04 |
| Last Update Date | 2013-06-04 |