| NPI | 1982063053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK LUCAS Director 847-873-5779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: IL 056001897) |
| Enumeration Date | 2016-02-18 |
| Last Update Date | 2016-02-18 |