| NPI | 1073998142 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE C ELIZONDO President/ CEO 773-368-0663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA11015) |
| Enumeration Date | 2015-07-30 |
| Last Update Date | 2015-07-30 |