| NPI | 1144009812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE ESTHER KOVALEVSKY Ot/Owner 847-942-5231 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
| Enumeration Date | 2023-09-22 |
| Last Update Date | 2025-11-18 |