| NPI | 1194329060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASSIDY VANZUIDEN Speech Language Pathologist 815-631-3298 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2020-11-22 |
| Last Update Date | 2020-11-22 |