| NPI | 1265898639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL L SHADEL President 815-353-9625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 222Q00000X Developmental Therapist (Licence: IL JS75061000P) |
| Enumeration Date | 2016-01-14 |
| Last Update Date | 2016-01-14 |