| NPI | 1215530456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA BUFFETT Owner 773-213-8495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 103TB0200X Psychologist Cognitive & Behavioral |
| 103TC2200X Psychologist Clinical Child & Adolescent | |
| 1041C0700X Social Worker Clinical | |
| 163W00000X Registered Nurse | |
| 224ZF0002X Occupational Therapy Assistant Feeding, Eating & Swallowing | |
| 2251P0200X Physical Therapist Pediatrics | |
| 2251X0800X Physical Therapist Orthopedic | |
| 225200000X Physical Therapy Assistant | |
| 225X00000X Occupational Therapist | |
| 225XM0800X Occupational Therapist Mental Health | |
| 225XN1300X Occupational Therapist Neurorehabilitation | |
| 225XP0200X Occupational Therapist Pediatrics | |
| 2355S0801X Specialist/Technologist Speech-Language Assistant | |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2020-11-19 |
| Last Update Date | 2020-11-19 |