| NPI | 1093877045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDAN P MCCORMICK Executive Director 708-335-0020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities (Licence: IL 008118) |
| Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation (Licence: IL 008118) |
| 251B00000X Case Management | |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2015-12-02 |