| NPI | 1386931236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLENE LAURSEN President 630-428-1595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146003541) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics |
| 225XP0200X Occupational Therapist, Pediatrics (Licence: IL 56006542) | |
| Enumeration Date | 2011-06-29 |
| Last Update Date | 2011-06-29 |