NPI | 1053580050 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK A SMOTZER President 630-661-7253 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 217000152) |
Enumeration Date | 2008-02-22 |
Last Update Date | 2008-02-22 |