| NPI | 1528701562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLOTTE LYNN EHLERS CFO 630-337-0343 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics | |
| 224ZF0002X Occupational Therapy Assistant, Feeding, Eating & Swallowing | |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| 225XP0200X Occupational Therapist, Pediatrics | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2022-04-18 |
| Last Update Date | 2023-03-10 |