| NPI | 1114663762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARA NUSSBAUM Speech Language Pathologist/Owner 847-220-9807 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2022-05-06 |
| Last Update Date | 2023-09-13 |