| NPI | 1003455288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY PATRICIA MONTEAGUDO CROHN Speech Language Pathologist 708-408-0017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2020-01-05 |
| Last Update Date | 2020-01-05 |