| NPI | 1093376360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN NICOLE MILLER Speech Language Pathologist 708-921-2007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2019-06-26 |
| Last Update Date | 2019-06-26 |