| NPI | 1144520727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLIE M CARLSON Corp. Claims & Contracting Manager 847-843-1900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2010-10-28 |
| Last Update Date | 2015-08-20 |