| NPI | 1588030621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA H MRAZ Owner 312-733-0883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics |
| 222Q00000X Developmental Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| 225XP0200X Occupational Therapist, Pediatrics | |
| Enumeration Date | 2015-08-12 |
| Last Update Date | 2020-11-12 |