| NPI | 1912775255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY FRANCIS Medical Director 224-202-7067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 2080P0006X Pediatrics Developmental - Behavioral Pediatrics |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2023-12-15 |
| Last Update Date | 2023-12-15 |