| NPI | 1114498664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORTNEY GROVE Speech Language Pathologist 312-380-0674 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2018-12-10 |
| Last Update Date | 2018-12-10 |