| NPI | 1902762529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN MCKEVITT Provider 630-640-6643 |
| Organization Subpart ? | No |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 225100000X Physical Therapist |
| 252Y00000X Early Intervention Provider Agency | |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2025-12-29 |
| Last Update Date | 2025-12-29 |