| NPI | 1710375969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENIFER BATES Business Director 847-239-2177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: IL 056005840) |
| Enumeration Date | 2014-12-22 |
| Last Update Date | 2023-07-10 |