| NPI | 1396484887 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRAYDA COHEN Administrator 773-372-7657 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| 104100000X Social Worker | |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2022-06-02 |
| Last Update Date | 2024-01-08 |