| NPI | 1619427507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN MARIE TAYLOR Cota/L 815-603-8926 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: IL 057.001889) |
| Enumeration Date | 2016-10-04 |
| Last Update Date | 2016-10-04 |