| NPI | 1689792822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MYLENE CORMIER President 815-267-7334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: IL 056.004242) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180.005672) |
| 235Z00000X Speech-Language Pathologist, (Licence: IL 146.004828) | |
| 222Q00000X Developmental Therapist | |
| 2251P0200X Physical Therapist, Pediatrics (Licence: IL 070.016938) | |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2025-10-29 |