NPI | 1043504475 |
---|---|
Entity Type | Organization |
Authorized Contact | COLLEEN RUNTY President 630-405-3450 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.010512) |
Enumeration Date | 2011-06-02 |
Last Update Date | 2011-06-02 |