| NPI | 1134799893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE WANCKET Speech Language Pathologist 708-305-0733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2021-06-25 |
| Last Update Date | 2021-06-25 |