| NPI | 1114642659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN DEANNE TASIOPOULOS Speech Language Pathologist 847-946-7609 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2022-10-06 |
| Last Update Date | 2022-10-06 |