| NPI | 1003963380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY LYNN HAYES Speech Language Pathologist 217-793-3309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.006233) |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2020-08-22 |