Specialty Therapy

NPI #1780989202 in Evanston, Illinois

Provider Information

NPI Number
1780989202
Entity Type
Organization
Organization Name
Specialty Therapy
Primary Specialty
Early Intervention Provider Agency
Enumeration Date
Jan 13, 2011
Last Updated
Jan 13, 2011

Practice Location

Address
1119 HULL TER
Address 2
2
ZIP Code
60202-3312
Phone
(312) 860-9017

Authorized Official

Name
MR. DAN UTCHENIK, MSW
Title
PROPRIETOR
Phone
(312) 860-9017

Specialties & Taxonomy Codes

Specialty
Early Intervention Provider Agency

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