| NPI | 1093223794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARA ANNE THONG Speech Language Pathologist 773-655-1074 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: KS 4021) |
| Enumeration Date | 2018-01-16 |
| Last Update Date | 2018-01-16 |