| NPI | 1154535755 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY W. FRAY Speech Language Pathologist 847-204-5572 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146005619) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2020-08-22 |