NPI | 1205024486 |
---|---|
Entity Type | Organization |
Authorized Contact | JILL E SENNER Director 847-682-1596 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146005507) |
Enumeration Date | 2007-10-12 |
Last Update Date | 2024-07-30 |