| NPI | 1396015780 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA SHEADE Owner 847-612-0530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2012-01-03 |
| Last Update Date | 2012-01-03 |