| NPI | 1770350795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVIS CARMACK Chief Executive Officer 630-800-6083 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
| Enumeration Date | 2023-12-11 |
| Last Update Date | 2023-12-11 |