| NPI | 1992985592 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRAE HOWARD Secretary 708-349-3388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IL 042-007044) |
| Enumeration Date | 2007-11-12 |
| Last Update Date | 2010-06-30 |