NPI | 1477851004 |
---|---|
Entity Type | Organization |
Authorized Contact | SHARI BURGGRAF LENZ President 312-848-4201 |
Organization Subpart ? | No |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: IL 056004923) |
Enumeration Date | 2011-03-07 |
Last Update Date | 2011-03-07 |