| NPI | 1184029407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY TIEASHA BURKETT Clinical Director 773-750-9865 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.00008425) |
| Enumeration Date | 2014-10-29 |
| Last Update Date | 2014-10-29 |