| NPI | 1891909594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEMA RAJ TRUKENBROD President 773-988-9905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics |
| 225XP0200X Occupational Therapist, Pediatrics | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2020-08-22 |