| NPI | 1699013219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAUREEN GRADY COONEY President/Owner 773-841-8180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center Hearing and Speech |
| Additional Taxonomies | 225100000X Physical Therapist |
| 252Y00000X Early Intervention Provider Agency (Licence: IL 68557372) | |
| Enumeration Date | 2013-01-17 |
| Last Update Date | 2019-10-18 |