| NPI | 1720533367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAIME PASSAGLIA President 312-607-4585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics |
| 225XP0200X Occupational Therapist, Pediatrics | |
| 235Z00000X Speech-Language Pathologist, | |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2016-08-24 |
| Last Update Date | 2020-08-06 |