NPI | 1114018751 |
---|---|
Entity Type | Organization |
Authorized Contact | MOLLY ANN GUMMERSON Treasurer 773-316-5708 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146-006085) |
Enumeration Date | 2006-09-27 |
Last Update Date | 2020-08-22 |