| NPI | 1194964320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETH ANN REINA Speech Language Pathologist 708-595-5443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: IL 146009666) |
| Enumeration Date | 2009-02-11 |
| Last Update Date | 2009-02-11 |