| NPI | 1841434636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD M BRUECK Office Manager 773-332-0403 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: IL 070.013401) |
| Enumeration Date | 2009-04-24 |
| Last Update Date | 2009-04-24 |