| NPI | 1962658484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE KATHRYN BLUDGEN Sole Proprietor 708-309-5459 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: IL 146.005469) |
| Additional Taxonomies | 251E00000X Home Health (Licence: IL 146.005469) |
| Enumeration Date | 2008-08-15 |
| Last Update Date | 2008-08-15 |