| NPI | 1528307113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK SMOTZER Owner 630-661-7253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: IL 217000152) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2013-02-03 |
| Last Update Date | 2025-01-22 |