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Organization · Early Intervention Provider Agency · New Lenox, IL

NPI
1194964320
Type
Organization (Type 2)
Primary specialty
Early Intervention Provider Agency
Specialty group
Agencies
Taxonomy code
252Y00000X
License number
146009666 (IL)
Enumerated
2009-02-11
Last updated
2009-02-11
Practice location
2156 Water Chase Dr
New Lenox, IL 60451-4812
(708) 595-5443

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