NPI | 1013379411 |
---|---|
Entity Type | Organization |
Authorized Contact | KATHERINE LORRAINE DIMOND Speech And Language Pathologist 847-924-2390 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146009787) |
Enumeration Date | 2016-03-24 |
Last Update Date | 2016-03-24 |