| NPI | 1154686285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY ANN CROWLEY Executive Director 773-301-5214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 9807) |
| Additional Taxonomies | 261QH0700X Clinic/Center, Hearing and Speech (Licence: NC 9807) |
| Enumeration Date | 2012-07-04 |
| Last Update Date | 2013-07-29 |