| NPI | 1528023074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADETUTU OLUSOLA BALOGUN Occupational Therapist Clinical Ma 708-614-1782 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IL 056005475) |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2020-08-22 |