| NPI | 1659740306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIRIS RIVAS Speech Language Pathologist 847-567-4978 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: IL 146009236) |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: IL 146009236) |
| Enumeration Date | 2015-09-23 |
| Last Update Date | 2015-09-23 |