| NPI | 1861713562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANTILA LATOI TERRY Occupational Therapist 773-779-5800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: IL 056006721) |
| Enumeration Date | 2010-06-16 |
| Last Update Date | 2010-06-16 |