| NPI | 1073292967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL MIEBACH Speech Language Pathologist 217-377-9191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center Hearing and Speech |
| Enumeration Date | 2023-07-17 |
| Last Update Date | 2023-07-17 |