NPI | 1790940583 |
---|---|
Entity Type | Organization |
Authorized Contact | MARY LESLIE LEVANOVIC President/Owner 773-259-5658 |
Organization Subpart ? | No |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: IL 146.005531) |
Enumeration Date | 2008-07-22 |
Last Update Date | 2008-07-22 |