| NPI | 1740439942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MALINDA VASILAKOPOULOS President 630-929-0122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| 2251P0200X Physical Therapist Pediatrics | |
| 225XP0200X Occupational Therapist Pediatrics | |
| 235Z00000X Speech-Language Pathologist | |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2008-09-11 |
| Last Update Date | 2020-09-16 |