| NPI | 1457710063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY TRUMBELL Owner 773-573-7709 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: IL 56009800) |
| Enumeration Date | 2016-02-11 |
| Last Update Date | 2016-02-11 |