| NPI | 1205207461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN TERPSTRA Executive Director 630-418-8377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Additional Taxonomies | 251V00000X Voluntary or Charitable |
| Enumeration Date | 2015-10-14 |
| Last Update Date | 2015-10-14 |