| NPI | 1740649193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMI MOHAMED DIAB Owner 312-451-7264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities (Licence: IL 019027963) |
| Enumeration Date | 2016-02-14 |
| Last Update Date | 2016-02-14 |