NPI | 1124359898 |
---|---|
Entity Type | Organization |
Authorized Contact | THERESHA ANN SZYPULSKI President 309-797-4102 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: IL 146.008417) |
Enumeration Date | 2010-01-20 |
Last Update Date | 2010-01-20 |