| NPI | 1063822260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN ELDRIDGE Slp/Sole Proprietor 815-403-1135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.006432) |
| Enumeration Date | 2014-04-28 |
| Last Update Date | 2014-04-28 |