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 |