| NPI | 1396118329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY T KREIS Member 708-557-2383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IL 056001950) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070004337) |
| 235Z00000X Speech-Language Pathologist, (Licence: IL 146009759) | |
| Enumeration Date | 2015-11-13 |
| Last Update Date | 2015-11-13 |