| NPI | 1699004986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE M VASILEVICH Primary Member 847-609-0524 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: IL 146005861) |
| Enumeration Date | 2009-12-15 |
| Last Update Date | 2009-12-15 |