| NPI | 1477913101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON CAMPOS Owner 773-240-5377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 235Z00000X Speech-Language Pathologist, | |
| 225100000X Physical Therapist | |
| 222Q00000X Developmental Therapist | |
| Enumeration Date | 2016-02-23 |
| Last Update Date | 2025-08-05 |