| NPI | 1528384971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA I. REYES President 773-805-8314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: IL 070006056) |
| 225XP0200X Occupational Therapist, Pediatrics (Licence: IL 056003500) | |
| 225700000X Massage Therapist (Licence: IL 227011382) | |
| Enumeration Date | 2010-04-09 |
| Last Update Date | 2011-10-22 |