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BENSENVILLE, IL
NPI1730515867
Entity TypeOrganization
Authorized ContactTIMOTHY H REYES
President
630-238-1995
Organization Subpart ?No
Primary Taxonomy252Y00000X Early Intervention Provider Agency
(Licence: IL  146.005715)
Enumeration Date2013-09-20
Last Update Date2013-09-20
Business Address
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184 HENDERSON ST
BENSENVILLE, IL 60106-2033
Phone number: 630-238-1995
Mailing Address
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184 HENDERSON ST
BENSENVILLE, IL 60106-2033
Phone number: 630-238-1995