| NPI | 1063963635 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCOS GUSTAVO SOLIS LARA Clincial Office Coordinator Rehab 312-227-3064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: IL 147.001607) |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2016-10-19 |