| NPI | 1437359189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH MICHAEL Occupational Therapist 847-486-4140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2007-07-30 |