| NPI | 1124850490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE L SHIELDS Speech Language Pathologist 630-215-8191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2024-08-15 |
| Last Update Date | 2024-12-30 |