| NPI | 1639350192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AGATA RAGAN Office Manager 773-814-2670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: IL 070.007190) |
| Enumeration Date | 2007-11-26 |
| Last Update Date | 2007-11-26 |