| NPI | 1417322512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN LORENZ Developmental Therapist 773-391-2377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2015-12-01 |
| Last Update Date | 2026-09-01 |