| NPI | 1861081572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT FOREMAN Billing 630-216-9437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics |
| Enumeration Date | 2021-01-16 |
| Last Update Date | 2021-01-16 |