| NPI | 1669500609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA D MCNICHOLAS Bus. Manager 815-730-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant |
| 225100000X Physical Therapist | |
| 2251P0200X Physical Therapist, Pediatrics | |
| 2251X0800X Physical Therapist, Orthopedic | |
| 225200000X Physical Therapy Assistant | |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2021-05-18 |