| NPI | 1912133828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN SHAUGHNESSY Asst VP Reimbursement 312-563-4410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2009-06-05 |
| Last Update Date | 2009-06-05 |