| NPI | 1619359866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZHENGANG GUO Owner 312-842-2775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: IL 198.000498) |
| Enumeration Date | 2015-06-24 |
| Last Update Date | 2015-06-24 |