| NPI | 1669081634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAIME ERIN PASSAGLIA President 312-607-4585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics |
| 225XP0200X Occupational Therapist, Pediatrics | |
| 252Y00000X Early Intervention Provider Agency | |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2020-07-27 |
| Last Update Date | 2020-09-11 |