| NPI | 1598077802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE MARIA LENARD Director 708-476-6273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: IL 070.005015) |
| Additional Taxonomies | 251E00000X Home Health (Licence: IL 070.005015) |
| Enumeration Date | 2010-07-02 |
| Last Update Date | 2010-07-02 |