| NPI | 1033963970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON GRAY Owner 847-220-7411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN |
| Enumeration Date | 2024-04-16 |
| Last Update Date | 2024-04-16 |